Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.48 / $2,987.00 / $6,915.00	Facility		$122.48	$2,987.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.76 / $153.83 / $180.96	Facility		$130.76	$153.83	$180.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $128.44 / $128.44	Facility		$128.44	$128.44	$128.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $189.14 / $506.56	Professional		$87.62	$189.14	$506.56
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00