Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,093.03 / $10,803.60 / $17,220.00	Professional		$9,093.03	$10,803.60	$17,220.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,379.17 / $15,274.59 / $37,821.00	Professional		$1,379.17	$15,274.59	$37,821.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,035.22 / $1,837.02 / $11,962.65	Facility		$1,035.22	$1,837.02	$11,962.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,837.02 / $1,837.02 / $1,837.02	Professional		$1,837.02	$1,837.02	$1,837.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,568.60 / $13,275.38 / $13,275.38	Facility		$7,568.60	$13,275.38	$13,275.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.46 / $13,275.38 / $25,053.75	Professional		$1,527.46	$13,275.38	$25,053.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,366.28 / $11,366.28 / $11,366.28	Professional		$11,366.28	$11,366.28	$11,366.28
United Facility/Professional Professional Modifier Low / Median / High Price $4,236.81 / $7,188.04 / $14,070.33	Professional		$4,236.81	$7,188.04	$14,070.33