Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $15,848.93	Facility		$5,370.32	$5,370.32	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,918.31 / $11,748.98	Professional		$5,370.32	$6,918.31	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $30,902.95 / $47,863.01	Facility		$13,182.57	$30,902.95	$47,863.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $10,715.19 / $16,595.87	Professional		$6,918.31	$10,715.19	$16,595.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $21,379.62	Facility		$9,120.11	$9,120.11	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $16,218.10	Professional		$6,606.93	$6,606.93	$16,218.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $13,182.57 / $22,908.68	Professional		$9,120.11	$13,182.57	$22,908.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,511.38 / $9,772.37	Facility		$4,677.35	$8,511.38	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $6,456.54 / $11,220.18	Professional		$4,265.80	$6,456.54	$11,220.18