Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,859.53 / $3,859.53 / $10,932.70	Facility		$3,859.53	$3,859.53	$10,932.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,859.53 / $5,445.78 / $6,214.71	Professional		$3,859.53	$5,445.78	$6,214.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,264.95 / $12,970.94 / $34,002.40	Facility		$9,264.95	$12,970.94	$34,002.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,939.43 / $7,703.64 / $14,790.99	Professional		$4,939.43	$7,703.64	$14,790.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,875.22 / $8,610.54 / $17,140.18	Facility		$7,875.22	$8,610.54	$17,140.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,875.22 / $7,875.22 / $7,875.22	Professional		$7,875.22	$7,875.22	$7,875.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $6,553.03	Facility		$6,553.03	$6,553.03	$6,553.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $6,412.20 / $11,743.88	Professional		$4,783.71	$6,412.20	$11,743.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,041.37 / $9,264.95 / $16,474.30	Professional		$7,041.37	$9,264.95	$16,474.30
United Facility/Professional Professional Modifier Low / Median / High Price $3,769.60 / $4,622.18 / $7,625.77	Professional		$3,769.60	$4,622.18	$7,625.77