Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.18 / $5,045.00 / $6,915.00	Facility		$806.18	$5,045.00	$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 $940.77 / $1,140.51 / $1,551.42	Facility		$940.77	$1,140.51	$1,551.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.49 / $617.49 / $2,172.58	Facility		$617.49	$617.49	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.58 / $911.11 / $1,393.22	Professional		$595.58	$911.11	$1,393.22
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