Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,817.00 / $6,915.00	Facility		$632.00	$3,817.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $639.41 / $752.88 / $6,375.65	Facility		$639.41	$752.88	$6,375.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.69 / $623.69 / $9,125.94	Facility		$623.69	$623.69	$9,125.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.90 / $3,544.71 / $6,122.67	Professional		$428.90	$3,544.71	$6,122.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00