Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $6.42 / $9.49	Facility		$2.48	$6.42	$9.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $6.89	Professional		$2.48	$2.48	$6.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $4.66 / $7.72	Facility		$2.80	$4.66	$7.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.64 / $3.36	Professional		$0.54	$0.64	$3.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $59,702.01	Facility		$2.64	$2.64	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Facility		$2.64	$2.64	$2.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $4.03	Professional		$2.64	$2.64	$4.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Facility		$2.64	$2.64	$2.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $4.03	Professional		$2.64	$2.64	$4.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $3.60	Professional		$2.59	$2.59	$3.60