Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.59 / $4,368.00 / $6,915.00	Facility		$795.59	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $898.29 / $1,090.71 / $1,483.68	Facility		$898.29	$1,090.71	$1,483.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.34 / $590.34 / $2,172.58	Facility		$590.34	$590.34	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.58 / $857.16 / $1,283.52	Professional		$569.58	$857.16	$1,283.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00