Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $13,489.63	Facility		$4,570.88	$4,570.88	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,606.93 / $10,232.93	Professional		$4,570.88	$6,606.93	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $26,915.35 / $41,686.94	Facility		$11,220.18	$26,915.35	$41,686.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $15,135.61	Professional		$5,888.44	$9,120.11	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $19,952.62	Facility		$8,709.64	$8,709.64	$19,952.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $14,791.08	Professional		$6,309.57	$6,309.57	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $11,220.18 / $20,417.38	Professional		$7,943.28	$11,220.18	$20,417.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $8,709.64	Facility		$4,265.80	$7,762.47	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $10,715.19	Professional		$3,715.35	$5,495.41	$10,715.19