Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $5.46 / $8.78	Facility		$2.11	$5.46	$8.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $5.87	Professional		$2.11	$2.11	$5.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.55	Professional		$2.24	$2.24	$3.55
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 $2.24 / $2.24 / $2.24	Facility		$2.24	$2.24	$2.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.52	Professional		$2.24	$2.24	$3.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.52	Professional		$2.24	$2.24	$3.52
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 $2.24 / $2.24 / $2.42	Professional		$2.24	$2.24	$2.42