Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $3.03 / $4.15	Facility		$1.31	$3.03	$4.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.31 / $3.64	Professional		$1.31	$1.31	$3.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.86	Professional		$1.70	$1.70	$2.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Facility		$1.39	$1.39	$1.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $2.19	Professional		$1.39	$1.39	$2.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $2.19	Professional		$1.39	$1.39	$2.19
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 $1.64 / $1.64 / $1.77	Professional		$1.64	$1.64	$1.77