Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,721.01 / $3,721.01 / $10,540.30	Facility		$3,721.01	$3,721.01	$10,540.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,453.75 / $4,147.04 / $5,953.61	Professional		$3,453.75	$4,147.04	$5,953.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,932.42 / $12,505.39 / $32,781.98	Facility		$8,932.42	$12,505.39	$32,781.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,279.66 / $7,427.16 / $14,260.15	Professional		$4,279.66	$7,427.16	$14,260.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,981.99 / $7,592.56 / $16,524.98	Facility		$5,981.99	$7,592.56	$16,524.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,592.56 / $7,592.56 / $7,592.56	Professional		$7,592.56	$7,592.56	$7,592.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.47 / $4,697.47 / $4,697.47	Facility		$4,697.47	$4,697.47	$4,697.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $3,429.16 / $9,403.77	Professional		$3,429.16	$3,429.16	$9,403.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,788.64 / $8,932.42 / $13,170.40	Professional		$6,788.64	$8,932.42	$13,170.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,970.86 / $4,456.30 / $7,352.08	Professional		$2,970.86	$4,456.30	$7,352.08