Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $7.79 / $11.29	Facility		$3.59	$7.79	$11.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.66 / $8.52	Professional		$3.59	$3.66	$8.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $5.78 / $8.98	Facility		$3.88	$5.78	$8.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $6.21	Professional		$3.59	$3.59	$6.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $3.59 / $6.10	Facility		$3.59	$3.59	$6.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $4.84	Professional		$3.59	$3.59	$4.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.59	Facility		$3.39	$3.39	$3.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $6.01	Professional		$3.59	$3.59	$6.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $6.01	Professional		$3.59	$3.59	$6.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $4.53 / $5.20	Professional		$3.94	$4.53	$5.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $4.33 / $4.33	Facility		$4.33	$4.33	$4.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.88	Professional		$3.59	$3.59	$3.88