Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $8.92 / $13.65	Facility		$4.46	$8.92	$13.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.59 / $10.51	Professional		$4.46	$4.59	$10.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $7.18 / $11.15	Facility		$4.82	$7.18	$11.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $7.72	Professional		$4.46	$4.46	$7.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $4.46 / $7.58	Facility		$4.46	$4.46	$7.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $6.02	Professional		$4.46	$4.46	$6.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.46	Facility		$4.21	$4.21	$4.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $7.77	Professional		$4.46	$4.46	$7.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $7.77	Professional		$4.46	$4.46	$7.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.72 / $6.46	Professional		$4.90	$5.72	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.46 / $4.82	Professional		$4.46	$4.46	$4.82