Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,386.76 / $4,386.76 / $12,426.10	Facility		$4,386.76	$4,386.76	$12,426.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,386.76 / $6,229.19 / $7,884.26	Professional		$4,386.76	$6,229.19	$7,884.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,530.60 / $14,742.84 / $38,647.30	Facility		$10,530.60	$14,742.84	$38,647.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,614.19 / $8,756.00 / $16,811.52	Professional		$5,614.19	$8,756.00	$16,811.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,951.01 / $10,690.90 / $19,481.61	Facility		$8,951.01	$10,690.90	$19,481.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,951.01 / $8,951.01 / $8,951.01	Professional		$8,951.01	$8,951.01	$8,951.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $8,136.27	Facility		$8,136.27	$8,136.27	$8,136.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $7,961.42 / $14,347.94	Professional		$5,939.48	$7,961.42	$14,347.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,003.26 / $10,530.60 / $19,132.75	Professional		$8,003.26	$10,530.60	$19,132.75
United Facility/Professional Professional Modifier Low / Median / High Price $3,502.40 / $5,253.60 / $8,667.50	Professional		$3,502.40	$5,253.60	$8,667.50