Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $9.19 / $11.89	Facility		$3.76	$9.19	$11.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.76 / $5.01	Professional		$3.76	$3.76	$5.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.80 / $6.29	Professional		$3.52	$3.80	$6.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $13.64 / $22.51	Facility		$0.64	$13.64	$22.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.72	Professional		$0.60	$0.60	$0.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $15.15 / $23.82	Professional		$10.10	$15.15	$23.82
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $6.36 / $6.55	Professional		$2.54	$6.36	$6.55