Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,588.53 / $5,063.00 / $6,915.00	Facility		$1,588.53	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,516.40 / $12,227.65	Facility		$1,206.01	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,283.96 / $3,171.69 / $4,388.42	Facility		$2,283.96	$3,171.69	$4,388.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,000.00 / $1,748.75	Facility		$500.00	$1,000.00	$1,748.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,684.68 / $2,529.26 / $3,796.39	Professional		$1,684.68	$2,529.26	$3,796.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00