Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $7,901.77 / $11,680.90	Facility		$3,817.28	$7,901.77	$11,680.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,772.85 / $3,817.28 / $8,703.40	Professional		$3,772.85	$3,817.28	$8,703.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,844.00 / $6,546.64 / $10,955.59	Facility		$3,844.00	$6,546.64	$10,955.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $6,435.93	Professional		$3,817.28	$3,817.28	$6,435.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $6,489.38	Facility		$3,817.28	$3,817.28	$6,489.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $5,153.33	Professional		$3,817.28	$3,817.28	$5,153.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,601.20 / $3,817.28	Facility		$3,601.20	$3,601.20	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $5,312.21	Professional		$3,817.28	$3,817.28	$5,312.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $5,312.21	Professional		$3,817.28	$3,817.28	$5,312.21
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,249.43 / $4,674.37	Professional		$3,817.28	$4,249.43	$4,674.37