Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,259.07 / $20,259.07 / $57,386.70	Facility		$20,259.07	$20,259.07	$57,386.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,259.07 / $24,401.22 / $32,414.51	Professional		$20,259.07	$24,401.22	$32,414.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48,632.79 / $68,085.91 / $178,482.34	Facility		$48,632.79	$68,085.91	$178,482.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26,476.72 / $40,437.26 / $77,639.56	Professional		$26,476.72	$40,437.26	$77,639.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40,129.58 / $41,337.87 / $89,970.66	Facility		$40,129.58	$41,337.87	$89,970.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41,337.87 / $41,337.87 / $41,337.87	Professional		$41,337.87	$41,337.87	$41,337.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,290.51 / $31,290.51 / $31,290.51	Facility		$31,290.51	$31,290.51	$31,290.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,842.07 / $22,842.07 / $51,346.18	Professional		$22,842.07	$22,842.07	$51,346.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36,960.92 / $48,632.79 / $90,869.00	Professional		$36,960.92	$48,632.79	$90,869.00
United Facility/Professional Professional Modifier Low / Median / High Price $16,174.91 / $24,262.36 / $40,028.58	Professional		$16,174.91	$24,262.36	$40,028.58