Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $10.73 / $21.28	Facility		$4.40	$10.73	$21.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $8.41 / $9.52	Professional		$3.90	$8.41	$9.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $19.68 / $54.67	Facility		$12.62	$19.68	$54.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $14.17	Professional		$8.41	$8.41	$14.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $8.41 / $14.30	Facility		$8.41	$8.41	$14.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $11.35	Professional		$8.41	$8.41	$11.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $7.93 / $8.41	Facility		$7.93	$7.93	$8.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.41 / $8.41	Professional		$6.36	$8.41	$8.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $8.41 / $8.41	Professional		$5.36	$8.41	$8.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $5.40 / $11.77	Professional		$4.24	$5.40	$11.77
United Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $8.41 / $8.41	Facility		$8.41	$8.41	$8.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $11.70	Professional		$8.41	$8.41	$11.70