Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.76 / $4,592.00 / $6,915.00	Facility		$1,337.76	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.46 / $3,735.84 / $21,657.35	Facility		$990.46	$3,735.84	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,510.64 / $1,510.64 / $1,510.64	Facility		$1,510.64	$1,510.64	$1,510.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,141.83 / $2,500.00	Facility		$500.00	$1,141.83	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,097.55 / $1,508.53 / $2,473.33	Professional		$1,097.55	$1,508.53	$2,473.33
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