Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.32 / $5,045.00 / $6,915.00	Facility		$758.32	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $757.09 / $757.09 / $757.09	Facility		$757.09	$757.09	$757.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.27 / $567.27 / $1,153.31	Facility		$567.27	$567.27	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.12 / $832.54 / $1,232.90	Professional		$547.12	$832.54	$1,232.90
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