Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,357.47 / $3,357.47 / $9,510.52	Facility		$3,357.47	$3,357.47	$9,510.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,357.47 / $4,767.60 / $6,585.10	Professional		$3,357.47	$4,767.60	$6,585.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,059.76 / $11,283.66 / $29,579.32	Facility		$8,059.76	$11,283.66	$29,579.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,296.91 / $6,701.54 / $12,866.96	Professional		$4,296.91	$6,701.54	$12,866.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,850.80 / $8,279.00 / $14,910.56	Facility		$6,850.80	$8,279.00	$14,910.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,850.80 / $6,850.80 / $6,850.80	Professional		$6,850.80	$6,850.80	$6,850.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $6,300.68	Facility		$6,300.68	$6,300.68	$6,300.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $6,165.28 / $10,769.37	Professional		$4,599.50	$6,165.28	$10,769.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,125.42 / $8,059.76 / $14,644.41	Professional		$6,125.42	$8,059.76	$14,644.41
United Facility/Professional Professional Modifier Low / Median / High Price $3,148.34 / $4,020.92 / $6,973.85	Professional		$3,148.34	$4,020.92	$6,973.85