Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $25,703.96	Facility		$8,709.64	$8,709.64	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,715.19 / $17,782.79	Professional		$8,709.64	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $50,118.72 / $77,624.71	Facility		$21,379.62	$50,118.72	$77,624.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $17,378.01 / $25,703.96	Professional		$12,022.64	$17,378.01	$25,703.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Professional		$17,782.79	$17,782.79	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $33,884.42	Facility		$12,882.50	$12,882.50	$33,884.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $24,547.09	Professional		$9,332.54	$9,332.54	$24,547.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $21,379.62 / $42,657.95	Professional		$14,125.38	$21,379.62	$42,657.95
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $14,125.38 / $14,791.08	Facility		$7,244.36	$14,125.38	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $10,471.29 / $20,417.38	Professional		$6,918.31	$10,471.29	$20,417.38