Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.67 / $4,829.00 / $6,915.00	Facility		$650.67	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $813.35 / $1,106.40	Facility		$678.00	$813.35	$1,106.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.18 / $444.18 / $1,272.50	Facility		$444.18	$444.18	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.73 / $617.79 / $1,169.65	Professional		$424.73	$617.79	$1,169.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00