Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.76 / $4,368.00 / $6,915.00	Facility		$459.76	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $565.88 / $665.75 / $938.37	Facility		$565.88	$665.75	$938.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.84 / $373.84 / $1,153.31	Facility		$373.84	$373.84	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.24 / $533.28 / $811.77	Professional		$360.24	$533.28	$811.77
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00