Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $21,379.62	Facility		$7,413.10	$7,413.10	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $14,791.08	Professional		$7,413.10	$8,709.64	$14,791.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $42,657.95 / $66,069.34	Facility		$17,782.79	$42,657.95	$66,069.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $14,791.08 / $23,442.29	Professional		$9,549.93	$14,791.08	$23,442.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $28,183.83	Facility		$9,772.37	$9,772.37	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $20,417.38	Professional		$8,317.64	$8,317.64	$20,417.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $17,782.79 / $25,703.96	Professional		$11,748.98	$17,782.79	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,748.98 / $12,302.69	Facility		$6,025.60	$11,748.98	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $17,378.01	Professional		$5,888.44	$8,709.64	$17,378.01