Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,621.43 / $4,621.43 / $13,090.80	Facility		$4,621.43	$4,621.43	$13,090.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,621.43 / $6,562.42 / $7,709.57	Professional		$4,621.43	$6,562.42	$7,709.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,093.94 / $15,531.52 / $40,714.76	Facility		$11,093.94	$15,531.52	$40,714.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,914.52 / $9,224.40 / $17,710.84	Professional		$5,914.52	$9,224.40	$17,710.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,429.85 / $11,474.80 / $20,523.79	Facility		$9,429.85	$11,474.80	$20,523.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,429.85 / $9,429.85 / $9,429.85	Professional		$9,429.85	$9,429.85	$9,429.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $8,732.85	Facility		$8,732.85	$8,732.85	$8,732.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $8,545.18 / $14,937.20	Professional		$6,374.98	$8,545.18	$14,937.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,431.39 / $11,093.94 / $20,156.46	Professional		$8,431.39	$11,093.94	$20,156.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $3,689.76 / $5,534.64 / $9,131.17	Professional		$3,689.76	$5,534.64	$9,131.17