Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $12.98 / $19.91	Facility		$5.98	$12.98	$19.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $6.16 / $13.63	Professional		$5.98	$6.16	$13.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.44 / $17.16	Facility		$6.46	$10.44	$17.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $11.36	Professional		$5.98	$5.98	$11.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $10.17	Facility		$5.98	$5.98	$10.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $8.07	Professional		$5.98	$5.98	$8.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.64 / $5.98	Facility		$5.64	$5.64	$5.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $9.05	Professional		$5.98	$5.98	$9.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $9.05	Professional		$5.98	$5.98	$9.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $7.47 / $8.67	Professional		$6.57	$7.47	$8.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $7.79	Professional		$5.98	$5.98	$7.79