Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $10,232.93	Facility		$3,467.37	$3,467.37	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $7,244.36	Professional		$3,467.37	$4,265.80	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $20,417.38 / $31,622.78	Facility		$8,511.38	$20,417.38	$31,622.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,918.31 / $10,232.93	Professional		$6,456.54	$6,918.31	$10,232.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $13,489.63	Facility		$4,786.30	$4,786.30	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $10,000.00	Professional		$4,073.80	$4,073.80	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,511.38 / $16,595.87	Professional		$5,623.41	$8,511.38	$16,595.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $6,025.60	Facility		$2,951.21	$5,754.40	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $8,128.31	Professional		$2,754.23	$4,168.69	$8,128.31