Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,480.60 / $3,480.60 / $9,859.28	Facility		$3,480.60	$3,480.60	$9,859.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,480.60 / $4,567.02 / $5,568.95	Professional		$3,480.60	$4,567.02	$5,568.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,355.32 / $11,697.45 / $30,664.02	Facility		$8,355.32	$11,697.45	$30,664.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,922.87 / $7,403.58 / $14,314.89	Professional		$5,922.87	$7,403.58	$14,314.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,102.02 / $7,320.76 / $15,457.34	Facility		$7,102.02	$7,320.76	$15,457.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,102.02 / $7,102.02 / $7,102.02	Professional		$7,102.02	$7,102.02	$7,102.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $4,751.45	Facility		$4,751.45	$4,751.45	$4,751.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,751.45 / $9,984.75	Professional		$4,038.73	$4,751.45	$9,984.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,350.04 / $8,355.32 / $17,505.00	Professional		$6,350.04	$8,355.32	$17,505.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,970.33 / $4,168.38 / $7,220.93	Professional		$2,970.33	$4,168.38	$7,220.93