Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.76 / $4,592.00 / $6,915.00	Facility		$531.76	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.10 / $705.18 / $1,046.64	Facility		$584.10	$705.18	$1,046.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.08 / $574.08 / $4,830.16	Facility		$574.08	$574.08	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.74 / $593.91 / $1,221.57	Professional		$401.74	$593.91	$1,221.57
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