Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.83 / $6.33	Facility		$1.66	$3.83	$6.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $2.21	Professional		$1.66	$1.66	$2.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.17 / $4.37	Professional		$2.06	$2.17	$4.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $59,499.41 / $61,249.39	Facility		$48,999.51	$59,499.41	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.94 / $3.35	Professional		$0.75	$0.94	$3.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $6.89	Professional		$6.89	$6.89	$6.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $4.17 / $4.47	Professional		$1.67	$4.17	$4.47