Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.43 / $19.07	Facility		$9.77	$12.43	$19.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $4.76 / $17.53	Professional		$4.58	$4.76	$17.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.80 / $8.09	Professional		$4.68	$4.80	$8.09
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 $4.87 / $4.87 / $4.87	Facility		$4.87	$4.87	$4.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $7.66	Professional		$4.87	$4.87	$7.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $7.66	Professional		$4.87	$4.87	$7.66
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 $5.73 / $5.73 / $6.20	Professional		$5.73	$5.73	$6.20