Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $8.49 / $12.55	Facility		$4.09	$8.49	$12.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.13 / $9.35	Professional		$4.09	$4.13	$9.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $7.16 / $11.77	Facility		$4.43	$7.16	$11.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $7.09	Professional		$4.09	$4.09	$7.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $6.97	Facility		$4.09	$4.09	$6.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $5.54	Professional		$4.09	$4.09	$5.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $4.09	Facility		$3.87	$3.87	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $6.95	Professional		$4.09	$4.09	$6.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $6.95	Professional		$4.09	$4.09	$6.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $5.12 / $5.93	Professional		$4.49	$5.12	$5.93
United Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.43	Professional		$4.09	$4.09	$4.43