Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,674.55 / $3,674.55 / $10,408.70	Facility		$3,674.55	$3,674.55	$10,408.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,674.55 / $4,280.22 / $5,879.27	Professional		$3,674.55	$4,280.22	$5,879.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,820.90 / $12,349.26 / $32,372.70	Facility		$8,820.90	$12,349.26	$32,372.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,333.72 / $7,334.42 / $14,082.09	Professional		$4,333.72	$7,334.42	$14,082.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,124.56 / $7,497.77 / $16,318.67	Facility		$6,124.56	$7,497.77	$16,318.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,497.77 / $7,497.77 / $7,497.77	Professional		$7,497.77	$7,497.77	$7,497.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $4,938.58	Facility		$4,938.58	$4,938.58	$4,938.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $4,832.45 / $8,850.37	Professional		$3,605.16	$4,832.45	$8,850.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,703.88 / $8,820.90 / $13,336.25	Professional		$6,703.88	$8,820.90	$13,336.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,933.77 / $4,400.64 / $7,260.28	Professional		$2,933.77	$4,400.64	$7,260.28