Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $29.00	Facility		$3.04	$3.04	$29.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $26.47	Professional		$3.04	$3.04	$26.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $22.41 / $36.97	Professional		$17.28	$22.41	$36.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $17.60 / $17.60	Facility		$17.60	$17.60	$17.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
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 $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $18.88 / $32.79	Professional		$12.80	$18.88	$32.79