Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.84 / $3,460.00 / $6,915.00	Facility		$893.84	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,132.70 / $1,362.68 / $1,853.64	Facility		$1,132.70	$1,362.68	$1,853.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,109.33 / $6,927.63	Facility		$860.00	$1,109.33	$6,927.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.29 / $1,084.68 / $2,052.05	Professional		$776.29	$1,084.68	$2,052.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00