Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,561.59 / $4,561.59 / $12,921.40	Facility		$4,561.59	$4,561.59	$12,921.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,547.68 / $5,658.08 / $7,298.54	Professional		$4,547.68	$5,658.08	$7,298.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,950.30 / $15,330.42 / $40,187.60	Facility		$10,950.30	$15,330.42	$40,187.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,760.45 / $9,104.96 / $17,481.54	Professional		$5,760.45	$9,104.96	$17,481.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,803.37 / $9,307.76 / $20,258.06	Facility		$8,803.37	$9,307.76	$20,258.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,307.76 / $9,307.76 / $9,307.76	Professional		$9,307.76	$9,307.76	$9,307.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $7,503.37	Facility		$7,503.37	$7,503.37	$7,503.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $6,806.53 / $12,466.13	Professional		$5,477.46	$6,806.53	$12,466.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,322.23 / $10,950.30 / $17,520.48	Professional		$8,322.23	$10,950.30	$17,520.48
United Facility/Professional Professional Modifier Low / Median / High Price $3,916.55 / $5,462.98 / $9,012.95	Professional		$3,916.55	$5,462.98	$9,012.95