Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
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 $220.10 / $220.10 / $220.10	Professional		$220.10	$220.10	$220.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $220.10	Professional		$220.10	$220.10	$220.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00