Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $9.90 / $16.48	Facility		$3.96	$9.90	$16.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $5.07	Professional		$3.96	$3.96	$5.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $9.66 / $26.85	Facility		$6.20	$9.66	$26.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.48 / $6.45	Professional		$3.27	$3.48	$6.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $4.63	Facility		$2.73	$2.73	$4.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.73	Professional		$2.02	$2.02	$2.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $6.31	Professional		$4.21	$4.21	$6.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $6.31	Professional		$4.21	$4.21	$6.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.61 / $4.28	Professional		$2.82	$3.61	$4.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $5.41	Professional		$4.13	$4.13	$5.41