Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $12,882.50	Facility		$4,466.84	$4,466.84	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,309.57 / $10,232.93	Professional		$4,466.84	$6,309.57	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $25,703.96 / $39,810.72	Facility		$10,715.19	$25,703.96	$39,810.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,912.51 / $14,454.40	Professional		$5,623.41	$8,912.51	$14,454.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $19,498.45	Facility		$8,317.64	$8,317.64	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $14,454.40	Professional		$6,025.60	$6,025.60	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $10,715.19 / $19,498.45	Professional		$7,585.78	$10,715.19	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $8,317.64	Facility		$4,073.80	$7,413.10	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,248.07 / $10,232.93	Professional		$3,548.13	$5,248.07	$10,232.93