Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,137.00 / $7,647.00	Facility		$1,791.00	$5,137.00	$7,647.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.79 / $8,207.70 / $21,657.35	Facility		$2,023.79	$8,207.70	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,760.58 / $2,760.58 / $2,760.58	Facility		$2,760.58	$2,760.58	$2,760.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,728.24 / $2,500.00	Facility		$500.00	$1,728.24	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,675.44 / $1,888.71 / $3,775.57	Professional		$1,675.44	$1,888.71	$3,775.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00