Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $13,489.63	Facility		$4,570.88	$4,570.88	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $9,120.11	Professional		$4,570.88	$5,370.32	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $26,302.68 / $40,738.03	Facility		$11,220.18	$26,302.68	$40,738.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $13,803.84	Professional		$5,888.44	$9,120.11	$13,803.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $16,595.87	Facility		$7,585.78	$7,585.78	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $12,589.25	Professional		$5,495.41	$5,495.41	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $11,220.18 / $17,782.79	Professional		$7,079.46	$11,220.18	$17,782.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,606.93 / $7,413.10	Facility		$3,630.78	$6,606.93	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,495.41 / $9,549.93	Professional		$3,630.78	$5,495.41	$9,549.93