Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.99 / $5,063.00 / $9,512.00	Facility		$806.99	$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 $1,126.41 / $1,372.14 / $74,999.25	Facility		$1,126.41	$1,372.14	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.82 / $1,230.00 / $1,410.08	Facility		$1,036.82	$1,230.00	$1,410.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.54 / $1,042.24 / $5,181.04	Professional		$716.54	$1,042.24	$5,181.04
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