Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $10.18 / $15.95	Facility		$4.69	$10.18	$15.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.83 / $15.15	Professional		$4.69	$4.83	$15.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $8.19 / $13.46	Facility		$5.07	$8.19	$13.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $9.35	Professional		$4.69	$4.69	$9.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $7.97	Facility		$4.69	$4.69	$7.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $6.33	Professional		$4.69	$4.69	$6.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.43 / $4.69	Facility		$4.43	$4.43	$4.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $28.93	Professional		$4.69	$4.69	$28.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $28.93	Professional		$4.69	$4.69	$28.93
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $6.11	Professional		$4.69	$4.69	$6.11