Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,764.35 / $6,764.35 / $19,161.00	Facility		$6,764.35	$6,764.35	$19,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,764.35 / $8,683.56 / $10,822.96	Professional		$6,764.35	$8,683.56	$10,822.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,238.11 / $22,733.35 / $59,593.86	Facility		$16,238.11	$22,733.35	$59,593.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,555.77 / $13,501.70 / $25,923.26	Professional		$8,555.77	$13,501.70	$25,923.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13,018.12 / $13,802.39 / $30,040.50	Facility		$13,018.12	$13,802.39	$30,040.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13,802.39 / $13,802.39 / $13,802.39	Professional		$13,802.39	$13,802.39	$13,802.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $9,907.40	Facility		$9,907.40	$9,907.40	$9,907.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $9,694.48 / $17,755.13	Professional		$7,232.40	$9,694.48	$17,755.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,340.96 / $16,238.11 / $26,268.87	Professional		$12,340.96	$16,238.11	$26,268.87
United Facility/Professional Professional Modifier Low / Median / High Price $5,647.67 / $8,101.02 / $13,365.23	Professional		$5,647.67	$8,101.02	$13,365.23