Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $12.24 / $18.78	Facility		$5.64	$12.24	$18.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.77 / $15.87	Professional		$5.64	$5.77	$15.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $9.08 / $16.07	Facility		$6.09	$9.08	$16.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $9.50	Professional		$5.64	$5.64	$9.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.64 / $9.59	Facility		$5.64	$5.64	$9.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $7.61	Professional		$5.64	$5.64	$7.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.32 / $5.64	Facility		$5.32	$5.32	$5.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $10.31	Professional		$5.64	$5.64	$10.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $10.31	Professional		$5.64	$5.64	$10.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $7.13 / $8.17	Professional		$6.20	$7.13	$8.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $6.10	Professional		$5.64	$5.64	$6.10