Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,986.17 / $4,986.17 / $14,124.00	Facility		$4,986.17	$4,986.17	$14,124.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,986.17 / $6,333.12 / $8,234.86	Professional		$4,986.17	$6,333.12	$8,234.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,969.51 / $16,757.31 / $43,928.10	Facility		$11,969.51	$16,757.31	$43,928.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,381.31 / $9,952.43 / $19,108.66	Professional		$6,381.31	$9,952.43	$19,108.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,174.08 / $10,671.07 / $22,143.59	Facility		$10,174.08	$10,671.07	$22,143.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,174.08 / $10,174.08 / $10,174.08	Professional		$10,174.08	$10,174.08	$10,174.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $8,121.18	Facility		$8,121.18	$8,121.18	$8,121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $16,308.46	Professional		$5,928.46	$5,928.46	$16,308.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,096.83 / $11,969.51 / $21,747.47	Professional		$9,096.83	$11,969.51	$21,747.47
United Facility/Professional Professional Modifier Low / Median / High Price $3,980.97 / $5,971.46 / $9,952.43	Professional		$3,980.97	$5,971.46	$9,952.43