Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $3.38 / $4.88	Facility		$1.69	$3.38	$4.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.69 / $3.85	Professional		$1.58	$1.69	$3.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.90 / $4.84	Facility		$1.70	$2.90	$4.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.92	Professional		$1.69	$1.69	$2.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $2.87	Facility		$1.69	$1.69	$2.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.27	Professional		$1.69	$1.69	$2.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $1.59 / $1.69	Facility		$1.59	$1.59	$1.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.89	Professional		$1.69	$1.69	$2.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.89	Professional		$1.69	$1.69	$2.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.11 / $2.36	Professional		$1.79	$2.11	$2.36
United Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $1.69 / $1.83	Professional		$1.63	$1.69	$1.83