Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.69 / $4,714.00 / $9,488.00	Facility		$860.69	$4,714.00	$9,488.00
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 $595.98 / $701.15 / $9,334.78	Facility		$595.98	$701.15	$9,334.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.96 / $583.96 / $6,756.77	Facility		$583.96	$583.96	$6,756.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.58 / $5,161.38 / $9,951.00	Professional		$382.58	$5,161.38	$9,951.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00