Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.21 / $4,592.00 / $6,915.00	Facility		$1,441.21	$4,592.00	$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 $1,946.99 / $2,331.17 / $3,171.08	Facility		$1,946.99	$2,331.17	$3,171.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,899.98 / $6,122.06	Facility		$1,200.00	$1,899.98	$6,122.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,328.03 / $1,870.31 / $3,372.43	Professional		$1,328.03	$1,870.31	$3,372.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00