Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,562.00 / $6,277.00 / $14,497.00	Facility		$3,562.00	$6,277.00	$14,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,491.11 / $2,753.80 / $5,758.56	Professional		$1,491.11	$2,753.80	$5,758.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,733.69 / $9,156.52	Facility		$814.00	$3,733.69	$9,156.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $5,865.64 / $5,865.64	Professional		$0.02	$5,865.64	$5,865.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74,999.25 / $74,999.25 / $119,998.80	Facility		$74,999.25	$74,999.25	$119,998.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69,861.80 / $69,861.80 / $69,861.80	Professional		$69,861.80	$69,861.80	$69,861.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,852.00	Facility		$400.00	$703.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.00 / $5,441.20 / $17,232.93	Professional		$1,391.00	$5,441.20	$17,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,142.52 / $7,142.52 / $13,697.00	Professional		$7,142.52	$7,142.52	$13,697.00
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00