Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $23.76 / $27.70	Facility		$8.76	$23.76	$27.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $24.35	Professional		$8.76	$8.76	$24.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $14.51 / $24.18	Facility		$0.03	$14.51	$24.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $15.34	Professional		$9.67	$9.67	$15.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $4.24 / $6.32	Facility		$2.87	$4.24	$6.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $9.31 / $9.31	Facility		$9.31	$9.31	$9.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.31 / $14.65	Professional		$9.31	$9.31	$14.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.31 / $14.65	Professional		$9.31	$9.31	$14.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $12.08 / $14.02	Professional		$10.63	$12.08	$14.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $11.84	Professional		$10.95	$10.95	$11.84