Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $4.55 / $6.99	Facility		$2.10	$4.55	$6.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.16 / $5.25	Professional		$2.10	$2.16	$5.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $3.38 / $5.25	Facility		$2.27	$3.38	$5.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $3.54	Professional		$2.10	$2.10	$3.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $3.57	Facility		$2.10	$2.10	$3.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.84	Professional		$2.10	$2.10	$2.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $1.98 / $2.10	Facility		$1.98	$1.98	$2.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $4.00	Professional		$2.10	$2.10	$4.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $4.00	Professional		$2.10	$2.10	$4.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.68 / $3.11	Professional		$2.31	$2.68	$3.11
United Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Facility		$2.10	$2.10	$2.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.27	Professional		$2.10	$2.10	$2.27