Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.82 / $4,592.00 / $11,445.00	Facility		$885.82	$4,592.00	$11,445.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $3,654.66 / $21,112.96	Facility		$964.00	$3,654.66	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $883.63 / $883.63 / $883.63	Facility		$883.63	$883.63	$883.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.73 / $664.73 / $2,172.58	Facility		$664.73	$664.73	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.86 / $898.75 / $1,446.42	Professional		$641.86	$898.75	$1,446.42
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