Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.83 / $4,708.00 / $6,915.00	Facility		$1,112.83	$4,708.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,245.97 / $1,245.97 / $1,245.97	Facility		$1,245.97	$1,245.97	$1,245.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.33 / $906.33 / $2,172.58	Facility		$906.33	$906.33	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.78 / $1,243.00 / $1,960.02	Professional		$869.78	$1,243.00	$1,960.02
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