Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.60 / $4,708.00 / $6,915.00	Facility		$1,098.60	$4,708.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.57 / $1,473.03 / $2,003.75	Facility		$1,236.57	$1,473.03	$2,003.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.78 / $799.78 / $1,653.56	Facility		$799.78	$799.78	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.22 / $1,149.64 / $2,927.29	Professional		$769.22	$1,149.64	$2,927.29
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00