Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.08 / $0.13	Facility		$0.03	$0.08	$0.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.08	Professional		$0.03	$0.03	$0.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.07 / $0.20	Facility		$0.05	$0.07	$0.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $59,702.01	Facility		$0.03	$0.03	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Professional		$0.03	$0.03	$0.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Professional		$0.03	$0.03	$0.05
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 $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04