Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.98 / $3,295.00 / $6,915.00	Facility		$609.98	$3,295.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $717.42 / $865.92 / $1,221.50	Facility		$717.42	$865.92	$1,221.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.60 / $702.60 / $1,653.56	Facility		$702.60	$702.60	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $719.39 / $1,414.71	Professional		$493.30	$719.39	$1,414.71
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