Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $8.34 / $12.33	Facility		$3.22	$8.34	$12.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $8.94	Professional		$3.22	$3.22	$8.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $7.86 / $21.84	Facility		$5.04	$7.86	$21.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.96 / $5.81	Professional		$2.56	$2.96	$5.81
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 $3.43 / $3.43 / $3.43	Facility		$3.43	$3.43	$3.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.43 / $5.22	Professional		$3.43	$3.43	$5.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.43 / $5.22	Professional		$3.43	$3.43	$5.22
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 $3.36 / $3.36 / $3.65	Professional		$3.36	$3.36	$3.65