Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $12,589.25	Facility		$4,265.80	$4,265.80	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $8,709.64	Professional		$4,265.80	$5,128.61	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $25,118.86 / $38,904.51	Facility		$10,471.29	$25,118.86	$38,904.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,511.38 / $12,882.50	Professional		$5,623.41	$8,511.38	$12,882.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $16,595.87	Facility		$6,606.93	$6,606.93	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $12,022.64	Professional		$4,897.79	$4,897.79	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $10,471.29 / $16,982.44	Professional		$6,918.31	$10,471.29	$16,982.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,918.31 / $7,244.36	Facility		$3,548.13	$6,918.31	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,128.61 / $10,000.00	Professional		$3,467.37	$5,128.61	$10,000.00