Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $8.55 / $13.75	Facility		$3.30	$8.55	$13.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $9.17	Professional		$3.30	$3.30	$9.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.61 / $5.79	Professional		$3.44	$3.61	$5.79
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 $3.44 / $3.44 / $3.44	Facility		$3.44	$3.44	$3.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $5.52	Professional		$3.44	$3.44	$5.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Facility		$3.44	$3.44	$3.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $5.52	Professional		$3.44	$3.44	$5.52
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 $4.13 / $4.13 / $5.38	Professional		$4.13	$4.13	$5.38