Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,218.89 / $6,750.23 / $109,271.92	Facility		$4,218.89	$6,750.23	$109,271.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,218.89 / $5,218.24 / $6,750.23	Professional		$4,218.89	$5,218.24	$6,750.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,857.64 / $8,494.27 / $17,405.45	Professional		$4,857.64	$8,494.27	$17,405.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,391.60 / $8,792.54 / $18,736.15	Facility		$8,391.60	$8,792.54	$18,736.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,608.50 / $8,608.50 / $8,608.50	Professional		$8,608.50	$8,608.50	$8,608.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $5,687.89	Facility		$5,687.89	$5,687.89	$5,687.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $5,687.89 / $11,992.13	Professional		$4,834.71	$5,687.89	$11,992.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,697.01 / $10,127.65 / $17,424.00	Professional		$7,697.01	$10,127.65	$17,424.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,555.74 / $5,152.31 / $9,115.62	Professional		$3,555.74	$5,152.31	$9,115.62