Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $17,378.01	Facility		$6,025.60	$6,025.60	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,244.36 / $12,589.25	Professional		$6,025.60	$7,244.36	$12,589.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $34,673.69 / $53,703.18	Facility		$14,791.08	$34,673.69	$53,703.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $19,498.45	Professional		$7,585.78	$12,022.64	$19,498.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Professional		$12,302.69	$12,302.69	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $24,547.09	Facility		$9,332.54	$9,332.54	$24,547.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $17,378.01	Professional		$6,918.31	$6,918.31	$17,378.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $14,791.08 / $26,302.68	Professional		$10,232.93	$14,791.08	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $10,000.00 / $11,220.18	Facility		$5,495.41	$10,000.00	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,079.46 / $12,589.25	Professional		$4,786.30	$7,079.46	$12,589.25