Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,080.47 / $12,080.47 / $34,219.60	Facility		$12,080.47	$12,080.47	$34,219.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,080.47 / $16,472.12 / $19,720.58	Professional		$12,080.47	$16,472.12	$19,720.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,999.68 / $40,599.55 / $106,428.83	Facility		$28,999.68	$40,599.55	$106,428.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20,557.09 / $25,696.36 / $47,414.07	Professional		$20,557.09	$25,696.36	$47,414.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23,929.17 / $24,649.73 / $53,649.41	Facility		$23,929.17	$24,649.73	$53,649.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24,649.73 / $24,649.73 / $24,649.73	Professional		$24,649.73	$24,649.73	$24,649.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,524.00 / $16,524.00 / $16,524.00	Facility		$16,524.00	$16,524.00	$16,524.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,062.52 / $16,524.00 / $33,438.37	Professional		$12,062.52	$16,524.00	$33,438.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22,039.76 / $28,999.68 / $70,296.00	Professional		$22,039.76	$28,999.68	$70,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,645.08 / $14,491.20 / $25,638.27	Professional		$9,645.08	$14,491.20	$25,638.27