Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $4.82 / $7.39	Facility		$2.22	$4.82	$7.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.27 / $6.00	Professional		$2.22	$2.27	$6.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.57 / $5.55	Facility		$2.40	$3.57	$5.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $3.84	Professional		$2.22	$2.22	$3.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.22 / $3.77	Facility		$2.22	$2.22	$3.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $3.00	Professional		$2.22	$2.22	$3.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.22	Facility		$2.10	$2.10	$2.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $4.09	Professional		$2.22	$2.22	$4.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $4.09	Professional		$2.22	$2.22	$4.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.82 / $3.21	Professional		$2.44	$2.82	$3.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.89	Professional		$2.22	$2.22	$2.89