Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,572.12 / $58,525.94 / $94,287.19	Facility		$9,572.12	$58,525.94	$94,287.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,572.12 / $12,528.28 / $15,315.40	Professional		$9,572.12	$12,528.28	$15,315.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,250.46 / $19,106.04 / $36,683.60	Professional		$12,250.46	$19,106.04	$36,683.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19,531.56 / $20,091.50 / $42,509.86	Facility		$19,531.56	$20,091.50	$42,509.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19,531.56 / $19,531.56 / $19,531.56	Professional		$19,531.56	$19,531.56	$19,531.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $13,034.23 / $13,034.23	Facility		$13,034.23	$13,034.23	$13,034.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $11,079.10 / $27,402.38	Professional		$11,079.10	$11,079.10	$27,402.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17,463.50 / $22,978.30 / $37,899.73	Professional		$17,463.50	$22,978.30	$37,899.73
United Facility/Professional Professional Modifier Low / Median / High Price $7,642.42 / $11,463.62 / $18,912.95	Professional		$7,642.42	$11,463.62	$18,912.95