Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $14,791.08	Facility		$5,011.87	$5,011.87	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $10,715.19	Professional		$5,011.87	$6,165.95	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $28,840.32 / $44,668.36	Facility		$12,302.69	$28,840.32	$44,668.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $10,000.00 / $16,218.10	Professional		$6,309.57	$10,000.00	$16,218.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $20,417.38	Facility		$8,128.31	$8,128.31	$20,417.38
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 $8,511.38 / $12,302.69 / $21,877.62	Professional		$8,511.38	$12,302.69	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,317.64 / $9,549.93	Facility		$4,570.88	$8,317.64	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,025.60 / $10,471.29	Professional		$3,981.07	$6,025.60	$10,471.29