Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,505.56 / $6,505.56 / $6,505.56	Facility		$6,505.56	$6,505.56	$6,505.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,505.56 / $7,729.38 / $12,049.98	Professional		$6,505.56	$7,729.38	$12,049.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.08 / $6,671.03 / $26,573.58	Professional		$1,096.08	$6,671.03	$26,573.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,314.29 / $2,164.71 / $9,342.66	Facility		$1,314.29	$2,164.71	$9,342.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,314.29 / $1,314.29 / $1,314.29	Professional		$1,314.29	$1,314.29	$1,314.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,613.42 / $14,613.42 / $14,613.42	Facility		$14,613.42	$14,613.42	$14,613.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,465.10 / $10,777.03 / $17,925.00	Professional		$10,465.10	$10,777.03	$17,925.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,683.79 / $14,097.99 / $38,720.00	Professional		$1,683.79	$14,097.99	$38,720.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,329.58 / $6,972.10 / $12,726.84	Professional		$4,329.58	$6,972.10	$12,726.84