Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.49 / $28.49 / $38.96	Facility		$10.49	$28.49	$38.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.49 / $29.16	Professional		$10.48	$10.49	$29.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $10.30 / $15.10	Professional		$8.96	$10.30	$15.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $10.02 / $13.53	Facility		$10.02	$10.02	$13.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $8.94 / $8.94	Facility		$8.94	$8.94	$8.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $20.60	Professional		$8.94	$8.94	$20.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $20.60	Professional		$8.94	$8.94	$20.60
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 $15.40 / $15.40 / $16.66	Professional		$15.40	$15.40	$16.66