Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,517.55 / $7,517.55 / $21,294.50	Facility		$7,517.55	$7,517.55	$21,294.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,517.55 / $10,093.20 / $12,028.08	Professional		$7,517.55	$10,093.20	$12,028.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,046.20 / $25,264.68 / $66,229.55	Facility		$18,046.20	$25,264.68	$66,229.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,621.00 / $15,005.09 / $28,809.77	Professional		$9,621.00	$15,005.09	$28,809.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,339.27 / $16,507.52 / $33,385.47	Facility		$15,339.27	$16,507.52	$33,385.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15,339.27 / $15,339.27 / $15,339.27	Professional		$15,339.27	$15,339.27	$15,339.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,562.99 / $12,562.99 / $12,562.99	Facility		$12,562.99	$12,562.99	$12,562.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,170.98 / $12,293.01 / $22,514.25	Professional		$9,170.98	$12,293.01	$22,514.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,715.11 / $18,046.20 / $31,805.45	Professional		$13,715.11	$18,046.20	$31,805.45
United Facility/Professional Professional Modifier Low / Median / High Price $7,049.30 / $9,003.04 / $14,853.43	Professional		$7,049.30	$9,003.04	$14,853.43