Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $3.41 / $5.23	Facility		$1.57	$3.41	$5.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.58 / $3.93	Professional		$1.57	$1.58	$3.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.52 / $3.93	Facility		$1.70	$2.52	$3.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.64	Professional		$1.57	$1.57	$2.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $2.67	Facility		$1.57	$1.57	$2.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.12	Professional		$1.57	$1.57	$2.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $1.57	Facility		$1.48	$1.48	$1.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $3.52	Professional		$1.57	$1.57	$3.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $3.52	Professional		$1.57	$1.57	$3.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.97 / $2.27	Professional		$1.72	$1.97	$2.27
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.70	Professional		$1.57	$1.57	$1.70