Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $1.69 / $2.60	Facility		$0.62	$1.69	$2.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.64 / $651.95	Professional		$0.62	$0.64	$651.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1.50 / $2.50	Facility		$0.03	$1.50	$2.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $1.09	Professional		$0.65	$0.65	$1.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Facility		$0.66	$0.66	$0.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $1.04	Professional		$0.66	$0.66	$1.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $1.04	Professional		$0.66	$0.66	$1.04
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 $0.67 / $0.67 / $0.93	Professional		$0.67	$0.67	$0.93