Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.02 / $5,664.00 / $14,497.00	Facility		$1,493.02	$5,664.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,464.71 / $6,492.84 / $14,848.89	Facility		$1,464.71	$6,492.84	$14,848.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,303.04 / $1,423.74 / $2,186.46	Facility		$1,303.04	$1,423.74	$2,186.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,774.00 / $4,774.00 / $6,037.66	Facility		$4,774.00	$4,774.00	$6,037.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.58 / $887.35 / $2,523.50	Professional		$682.58	$887.35	$2,523.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $8,264.00 / $15,490.00	Facility		$1,738.00	$8,264.00	$15,490.00