Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.46 / $4,829.00 / $6,915.00	Facility		$1,016.46	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.61 / $1,357.38 / $1,846.43	Facility		$1,122.61	$1,357.38	$1,846.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $733.93 / $733.93 / $4,830.16	Facility		$733.93	$733.93	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.83 / $1,000.34 / $2,047.04	Professional		$708.83	$1,000.34	$2,047.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00