Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,491.89 / $4,491.89 / $12,723.90	Facility		$4,491.89	$4,491.89	$12,723.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,491.89 / $5,450.11 / $7,187.02	Professional		$4,491.89	$5,450.11	$7,187.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,782.97 / $15,096.16 / $39,573.50	Facility		$10,782.97	$15,096.16	$39,573.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.53 / $8,965.84 / $17,214.41	Professional		$5,623.53	$8,965.84	$17,214.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,621.20 / $9,183.21 / $19,948.49	Facility		$8,621.20	$9,183.21	$19,948.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,165.52 / $9,165.52 / $9,165.52	Professional		$9,165.52	$9,165.52	$9,165.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $7,261.93	Facility		$7,261.93	$7,261.93	$7,261.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $12,525.00	Professional		$5,301.21	$5,301.21	$12,525.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,195.06 / $10,782.97 / $17,252.75	Professional		$8,195.06	$10,782.97	$17,252.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,586.34 / $5,379.50 / $10,530.24	Professional		$3,586.34	$5,379.50	$10,530.24