Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $5,045.00 / $6,915.00	Facility		$1,458.00	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.17 / $3,640.00 / $8,094.63	Facility		$1,078.17	$3,640.00	$8,094.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,233.94 / $74,999.25	Facility		$1,845.00	$2,233.94	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $2,868.55 / $3,612.25	Facility		$778.00	$2,868.55	$3,612.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,166.58 / $1,660.87 / $8,618.26	Professional		$1,166.58	$1,660.87	$8,618.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00