Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.69 / $5,063.00 / $9,512.00	Facility		$1,023.69	$5,063.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,149.00 / $3,107.04 / $5,240.56	Facility		$1,149.00	$3,107.04	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,317.69 / $1,604.81 / $74,999.25	Facility		$1,317.69	$1,604.81	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,227.11 / $1,325.29 / $1,668.88	Facility		$1,227.11	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.05 / $1,218.98 / $6,174.79	Professional		$838.05	$1,218.98	$6,174.79
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