Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,336.16 / $7,336.16 / $20,780.70	Facility		$7,336.16	$7,336.16	$20,780.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,336.16 / $9,735.27 / $11,773.23	Professional		$7,336.16	$9,735.27	$11,773.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,610.77 / $24,655.08 / $64,631.53	Facility		$17,610.77	$24,655.08	$64,631.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,672.80 / $15,604.75 / $30,266.03	Professional		$5,672.80	$15,604.75	$30,266.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,531.58 / $14,969.15 / $32,579.92	Facility		$14,531.58	$14,969.15	$32,579.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14,969.15 / $14,969.15 / $14,969.15	Professional		$14,969.15	$14,969.15	$14,969.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,812.54 / $9,812.54 / $9,812.54	Facility		$9,812.54	$9,812.54	$9,812.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,340.66 / $9,812.54 / $20,306.25	Professional		$8,340.66	$9,812.54	$20,306.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,384.19 / $17,610.77 / $26,371.00	Professional		$13,384.19	$17,610.77	$26,371.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,134.23 / $8,870.54 / $15,694.04	Professional		$6,134.23	$8,870.54	$15,694.04