Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Facility		$43.00	$43.00	$43.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $43.00 / $43.00	Professional		$14.37	$43.00	$43.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.26 / $23.38	Professional		$1.09	$1.26	$23.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $64.00	Facility		$14.21	$14.21	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $14.21	Professional		$12.08	$12.08	$14.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $14.21	Facility		$14.21	$14.21	$14.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $14.21 / $14.21	Professional		$12.08	$14.21	$14.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.81 / $15.77	Professional		$7.21	$10.81	$15.77