Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,225.12 / $5,225.12 / $5,225.12	Facility		$5,225.12	$5,225.12	$5,225.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,225.12 / $5,225.12	Professional		$5,036.26	$5,225.12	$5,225.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,871.93 / $7,931.52 / $17,880.02	Facility		$4,871.93	$7,931.52	$17,880.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,980.55 / $5,980.55	Professional		$5,246.10	$5,980.55	$5,980.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,508.41 / $10,796.47	Facility		$5,351.02	$5,508.41	$10,796.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,735.14 / $4,735.14 / $5,351.02	Professional		$4,735.14	$4,735.14	$5,351.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,855.30 / $9,467.84 / $9,467.84	Facility		$4,855.30	$9,467.84	$9,467.84
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,787.92	Professional		$5,246.10	$5,246.10	$5,787.92