Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.18 / $5,045.00 / $6,915.00	Facility		$1,169.18	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $3,839.45 / $8,545.91	Facility		$1,195.63	$3,839.45	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,267.60 / $1,491.30 / $1,752.63	Facility		$1,267.60	$1,491.30	$1,752.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $777.94 / $990.11 / $2,523.80	Professional		$777.94	$990.11	$2,523.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,102.00 / $18,613.00	Facility		$1,998.00	$9,102.00	$18,613.00