Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $6.31 / $11.79	Facility		$2.61	$6.31	$11.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.54 / $6.44	Professional		$2.29	$3.54	$6.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $8.27 / $23.01	Facility		$5.31	$8.27	$23.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $7.06	Professional		$3.54	$3.54	$7.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $6.02	Facility		$3.54	$3.54	$6.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $4.78	Professional		$3.54	$3.54	$4.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $3.34 / $3.54	Facility		$3.34	$3.34	$3.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $15.72	Professional		$3.54	$3.54	$15.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $16.35	Professional		$3.54	$3.54	$16.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $3.89 / $4.95	Professional		$2.83	$3.89	$4.95
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $4.63	Professional		$3.54	$3.54	$4.63