Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,397.00 / $9,397.00 / $26,618.30	Facility		$9,397.00	$9,397.00	$26,618.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,397.00 / $12,037.88 / $15,035.19	Professional		$9,397.00	$12,037.88	$15,035.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,557.89 / $31,581.05 / $82,787.46	Facility		$22,557.89	$31,581.05	$82,787.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,128.12 / $18,756.48 / $36,012.44	Professional		$12,128.12	$18,756.48	$36,012.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18,613.73 / $19,174.21 / $41,732.10	Facility		$18,613.73	$19,174.21	$41,732.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19,174.21 / $19,174.21 / $19,174.21	Professional		$19,174.21	$19,174.21	$19,174.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,513.81 / $14,513.81 / $14,513.81	Facility		$14,513.81	$14,513.81	$14,513.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,595.08 / $10,595.08 / $26,010.38	Professional		$10,595.08	$10,595.08	$26,010.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17,144.00 / $22,557.89 / $34,028.22	Professional		$17,144.00	$22,557.89	$34,028.22
United Facility/Professional Professional Modifier Low / Median / High Price $7,502.59 / $11,253.89 / $19,518.64	Professional		$7,502.59	$11,253.89	$19,518.64