Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $12,882.50	Facility		$4,365.16	$4,365.16	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,165.95 / $10,232.93	Professional		$4,365.16	$6,165.95	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $25,703.96 / $39,810.72	Facility		$10,715.19	$25,703.96	$39,810.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,709.64 / $14,454.40	Professional		$5,623.41	$8,709.64	$14,454.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $18,620.87	Facility		$8,128.31	$8,128.31	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $14,454.40	Professional		$5,888.44	$5,888.44	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $10,715.19 / $19,498.45	Professional		$7,585.78	$10,715.19	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $8,317.64	Facility		$4,073.80	$7,413.10	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,248.07 / $10,000.00	Professional		$3,467.37	$5,248.07	$10,000.00