Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,422.67 / $4,422.67 / $12,527.80	Facility		$4,422.67	$4,422.67	$12,527.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,422.67 / $6,280.19 / $7,329.59	Professional		$4,422.67	$6,280.19	$7,329.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,616.81 / $14,863.53 / $38,963.69	Facility		$10,616.81	$14,863.53	$38,963.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,660.15 / $8,827.68 / $16,949.15	Professional		$5,660.15	$8,827.68	$16,949.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,024.29 / $10,909.26 / $19,641.09	Facility		$9,024.29	$10,909.26	$19,641.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,024.29 / $9,024.29 / $9,024.29	Professional		$9,024.29	$9,024.29	$9,024.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,302.44 / $8,302.44 / $8,302.44	Facility		$8,302.44	$8,302.44	$8,302.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,060.78 / $8,124.02 / $14,465.40	Professional		$6,060.78	$8,124.02	$14,465.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,068.78 / $10,616.81 / $19,289.50	Professional		$8,068.78	$10,616.81	$19,289.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,531.07 / $5,296.61 / $8,738.45	Professional		$3,531.07	$5,296.61	$8,738.45