Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $3.36 / $4.74	Facility		$1.24	$3.36	$4.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.24 / $3.45	Professional		$1.24	$1.24	$3.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $3.02 / $8.39	Facility		$1.94	$3.02	$8.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.39 / $2.72	Professional		$1.29	$1.39	$2.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $59,702.01	Facility		$1.32	$1.32	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Facility		$1.32	$1.32	$1.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $2.08	Professional		$1.32	$1.32	$2.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $2.08	Professional		$1.32	$1.32	$2.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00