Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $11.63 / $18.71	Facility		$4.50	$11.63	$18.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $12.51	Professional		$4.50	$4.50	$12.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.71 / $7.57	Professional		$4.49	$4.71	$7.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50,749.49 / $59,499.41 / $61,249.39	Facility		$50,749.49	$59,499.41	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Facility		$4.49	$4.49	$4.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $7.52	Professional		$4.49	$4.49	$7.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $7.52	Professional		$4.49	$4.49	$7.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $6.08	Professional		$5.62	$5.62	$6.08