Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,360.09 / $5,360.09 / $15,183.20	Facility		$5,360.09	$5,360.09	$15,183.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,360.09 / $7,358.07 / $8,735.70	Professional		$5,360.09	$7,358.07	$8,735.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,867.13 / $18,013.98 / $47,222.37	Facility		$12,867.13	$18,013.98	$47,222.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,859.88 / $10,698.78 / $20,541.66	Professional		$6,859.88	$10,698.78	$20,541.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,847.88 / $11,927.08 / $23,804.19	Facility		$10,847.88	$11,927.08	$23,804.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,937.06 / $10,937.06 / $10,937.06	Professional		$10,937.06	$10,937.06	$10,937.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $9,077.06	Facility		$9,077.06	$9,077.06	$9,077.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $8,882.00 / $16,267.13	Professional		$6,626.25	$8,882.00	$16,267.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,779.02 / $12,867.13 / $22,259.33	Professional		$9,779.02	$12,867.13	$22,259.33
United Facility/Professional Professional Modifier Low / Median / High Price $4,279.51 / $6,419.27 / $10,590.66	Professional		$4,279.51	$6,419.27	$10,590.66