Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65,558.70 / $69,492.58 / $69,492.58	Facility		$65,558.70	$69,492.58	$69,492.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65,558.70 / $69,492.58 / $69,492.58	Professional		$65,558.70	$69,492.58	$69,492.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31,905.54 / $69,772.00 / $117,093.33	Facility		$31,905.54	$69,772.00	$117,093.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69,772.00 / $75,037.08 / $79,539.70	Professional		$69,772.00	$75,037.08	$79,539.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71,167.10 / $73,260.25 / $143,590.10	Facility		$71,167.10	$73,260.25	$143,590.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71,167.10 / $71,167.10 / $71,167.10	Facility		$71,167.10	$71,167.10	$71,167.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71,167.10 / $71,167.10 / $71,167.10	Professional		$71,167.10	$71,167.10	$71,167.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33,710.62 / $33,710.62 / $61,878.30	Professional		$33,710.62	$33,710.62	$61,878.30
United Facility/Professional Professional Modifier Low / Median / High Price $69,772.00 / $69,772.00 / $71,865.16	Professional		$69,772.00	$69,772.00	$71,865.16