Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.82 / $5,045.00 / $9,488.00	Facility		$1,556.82	$5,045.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,248.19 / $2,248.19 / $2,248.19	Facility		$2,248.19	$2,248.19	$2,248.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,766.56 / $57,200.00	Facility		$500.00	$1,766.56	$57,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,805.90 / $2,512.56 / $4,541.38	Professional		$1,805.90	$2,512.56	$4,541.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00