Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $52,480.75 / $89,125.09	Facility		$4,786.30	$52,480.75	$89,125.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $11,748.98 / $19,952.62	Professional		$9,549.93	$11,748.98	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $19,054.61 / $28,840.32	Professional		$12,302.69	$19,054.61	$28,840.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Facility		$19,498.45	$19,498.45	$19,498.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Professional		$19,498.45	$19,498.45	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $34,673.69	Facility		$13,182.57	$13,182.57	$34,673.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $27,542.29	Professional		$10,964.78	$10,964.78	$27,542.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $23,442.29 / $38,904.51	Professional		$15,488.17	$23,442.29	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $15,848.93 / $16,218.10	Facility		$7,943.28	$15,848.93	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $19,952.62	Professional		$7,585.78	$11,481.54	$19,952.62