Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.24 / $4,338.00 / $6,915.00	Facility		$623.24	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $902.60 / $902.60 / $902.60	Facility		$902.60	$902.60	$902.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.66 / $739.66 / $6,509.64	Facility		$739.66	$739.66	$6,509.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.34 / $748.62 / $1,452.89	Professional		$513.34	$748.62	$1,452.89
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