Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,106.08 / $4,106.08 / $11,631.10	Facility		$4,106.08	$4,106.08	$11,631.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,106.08 / $5,377.63 / $6,569.73	Professional		$4,106.08	$5,377.63	$6,569.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,856.83 / $13,799.56 / $36,174.57	Facility		$9,856.83	$13,799.56	$36,174.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,525.81 / $8,195.77 / $15,735.88	Professional		$6,525.81	$8,195.77	$15,735.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,378.31 / $8,625.04 / $18,235.14	Facility		$8,378.31	$8,625.04	$18,235.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,378.31 / $8,378.31 / $8,378.31	Professional		$8,378.31	$8,378.31	$8,378.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,957.05 / $7,957.05 / $7,957.05	Facility		$7,957.05	$7,957.05	$7,957.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $6,763.49 / $11,763.75	Professional		$6,763.49	$6,763.49	$11,763.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,491.19 / $9,856.83 / $16,268.49	Professional		$7,491.19	$9,856.83	$16,268.49
United Facility/Professional Professional Modifier Low / Median / High Price $3,497.54 / $4,917.46 / $8,112.95	Professional		$3,497.54	$4,917.46	$8,112.95