Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.78 / $3,391.00 / $6,915.00	Facility		$515.78	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $610.49 / $741.23 / $1,016.90	Facility		$610.49	$741.23	$1,016.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.47 / $405.47 / $2,172.58	Facility		$405.47	$405.47	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.39 / $580.75 / $1,030.84	Professional		$390.39	$580.75	$1,030.84
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