Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $15.36 / $24.71	Facility		$5.94	$15.36	$24.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $5.94 / $16.51	Professional		$5.94	$5.94	$16.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.00 / $8.02	Professional		$4.76	$5.00	$8.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $5.58	Facility		$4.13	$4.13	$5.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Facility		$4.76	$4.76	$4.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $6.10	Professional		$4.76	$4.76	$6.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $6.10	Professional		$4.76	$4.76	$6.10
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 $4.76 / $4.76 / $5.15	Professional		$4.76	$4.76	$5.15