Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.90 / $3,460.00 / $6,915.00	Facility		$563.90	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $873.03 / $1,054.73 / $1,434.74	Facility		$873.03	$1,054.73	$1,434.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.03 / $852.03 / $1,153.31	Facility		$852.03	$852.03	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.82 / $787.00 / $1,377.88	Professional		$575.82	$787.00	$1,377.88
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