Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $12,816.80 / $19,609.59	Facility		$6,408.38	$12,816.80	$19,609.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,519.11 / $14,657.40	Professional		$6,408.38	$6,519.11	$14,657.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,921.05 / $11,192.24 / $18,392.05	Facility		$6,921.05	$11,192.24	$18,392.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $10,804.52	Professional		$6,408.38	$6,408.38	$10,804.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $10,894.25	Facility		$6,408.38	$6,408.38	$10,894.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $8,651.31	Professional		$6,408.38	$6,408.38	$8,651.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $6,045.64 / $6,408.38	Facility		$6,045.64	$6,045.64	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $10,422.81	Professional		$6,408.38	$6,408.38	$10,422.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $10,422.81	Professional		$6,408.38	$6,408.38	$10,422.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,100.02 / $8,075.03 / $9,359.12	Professional		$7,100.02	$8,075.03	$9,359.12
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $7,014.20	Professional		$6,408.38	$6,408.38	$7,014.20