Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,336.78 / $3,336.78 / $9,451.91	Facility		$3,336.78	$3,336.78	$9,451.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,336.78 / $4,738.22 / $6,069.30	Professional		$3,336.78	$4,738.22	$6,069.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,010.09 / $11,214.13 / $29,397.03	Facility		$8,010.09	$11,214.13	$29,397.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,270.42 / $6,660.24 / $12,787.66	Professional		$4,270.42	$6,660.24	$12,787.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,808.58 / $8,595.84 / $14,818.67	Facility		$6,808.58	$8,595.84	$14,818.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,808.58 / $6,808.58 / $6,808.58	Professional		$6,808.58	$6,808.58	$6,808.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $6,541.83	Facility		$6,541.83	$6,541.83	$6,541.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $6,401.26 / $10,703.06	Professional		$4,775.54	$6,401.26	$10,703.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,087.67 / $8,010.09 / $14,553.77	Professional		$6,087.67	$8,010.09	$14,553.77
United Facility/Professional Professional Modifier Low / Median / High Price $3,128.94 / $3,996.14 / $6,592.93	Professional		$3,128.94	$3,996.14	$6,592.93