Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,214.43 / $7,214.43 / $20,435.90	Facility		$7,214.43	$7,214.43	$20,435.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,214.43 / $10,216.62 / $11,543.08	Professional		$7,214.43	$10,216.62	$11,543.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,318.54 / $24,245.96 / $63,559.04	Facility		$17,318.54	$24,245.96	$63,559.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,233.04 / $14,400.05 / $27,648.10	Professional		$9,233.04	$14,400.05	$27,648.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,720.76 / $15,421.98 / $32,039.30	Facility		$14,720.76	$15,421.98	$32,039.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14,720.76 / $14,720.76 / $14,720.76	Professional		$14,720.76	$14,720.76	$14,720.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,736.82 / $11,736.82 / $11,736.82	Facility		$11,736.82	$11,736.82	$11,736.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,567.87 / $11,484.62 / $21,033.75	Professional		$8,567.87	$11,484.62	$21,033.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,162.09 / $17,318.54 / $30,906.50	Professional		$13,162.09	$17,318.54	$30,906.50
United Facility/Professional Professional Modifier Low / Median / High Price $6,644.76 / $8,640.03 / $14,254.50	Professional		$6,644.76	$8,640.03	$14,254.50