Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,333.15 / $16,333.15 / $46,265.90	Facility		$16,333.15	$16,333.15	$46,265.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16,333.15 / $23,193.07 / $28,576.68	Professional		$16,333.15	$23,193.07	$28,576.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39,208.42 / $54,891.79 / $143,894.90	Facility		$39,208.42	$54,891.79	$143,894.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20,903.25 / $32,601.09 / $62,594.09	Professional		$20,903.25	$32,601.09	$62,594.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33,327.16 / $39,933.32 / $72,535.58	Facility		$33,327.16	$39,933.32	$72,535.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33,327.16 / $33,327.16 / $33,327.16	Professional		$33,327.16	$33,327.16	$33,327.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,391.12 / $30,391.12 / $30,391.12	Facility		$30,391.12	$30,391.12	$30,391.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $29,738.01 / $44,996.61	Professional		$22,185.52	$29,738.01	$44,996.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29,798.40 / $39,208.42 / $71,238.62	Professional		$29,798.40	$39,208.42	$71,238.62
United Facility/Professional Professional Modifier Low / Median / High Price $15,315.79 / $19,560.65 / $32,601.09	Professional		$15,315.79	$19,560.65	$32,601.09