Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.44 / $4,829.00 / $6,915.00	Facility		$981.44	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.78 / $1,306.58 / $1,777.34	Facility		$1,080.78	$1,306.58	$1,777.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.77 / $706.77 / $2,172.58	Facility		$706.77	$706.77	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.31 / $1,043.97 / $1,969.28	Professional		$682.31	$1,043.97	$1,969.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00