Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,971.62 / $5,971.62 / $16,915.40	Facility		$5,971.62	$5,971.62	$16,915.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,971.62 / $7,344.43 / $9,554.58	Professional		$5,971.62	$7,344.43	$9,554.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,335.11 / $20,069.15 / $52,609.85	Facility		$14,335.11	$20,069.15	$52,609.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,642.50 / $11,919.39 / $22,885.23	Professional		$7,642.50	$11,919.39	$22,885.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,184.84 / $12,500.80 / $26,519.95	Facility		$12,184.84	$12,500.80	$26,519.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12,184.84 / $12,184.84 / $12,184.84	Professional		$12,184.84	$12,184.84	$12,184.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $9,418.01	Facility		$9,418.01	$9,418.01	$9,418.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $9,215.62 / $16,878.38	Professional		$6,875.15	$9,215.62	$16,878.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,894.68 / $14,335.11 / $26,046.00	Professional		$10,894.68	$14,335.11	$26,046.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $5,599.66 / $7,151.63 / $11,798.92	Professional		$5,599.66	$7,151.63	$11,798.92