Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $7.75 / $11.89	Facility		$6.09	$7.75	$11.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.96 / $10.00	Professional		$2.86	$2.96	$10.00
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 $2.19 / $2.50 / $3.69	Professional		$2.19	$2.50	$3.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $2.97 / $5.05	Facility		$2.97	$2.97	$5.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $2.97	Professional		$2.20	$2.20	$2.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $4.76	Professional		$2.19	$2.19	$4.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $4.76	Professional		$2.19	$2.19	$4.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.75 / $3.19	Professional		$2.42	$2.75	$3.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.86	Professional		$3.57	$3.57	$3.86