Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.46 / $5,063.00 / $12,228.00	Facility		$682.46	$5,063.00	$12,228.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,518.00 / $4,429.60 / $13,523.26	Facility		$1,518.00	$4,429.60	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.07 / $919.88 / $1,251.30	Facility		$760.07	$919.88	$1,251.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.49 / $5,845.00 / $9,852.00	Facility		$749.49	$5,845.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $776.70 / $1,600.52	Professional		$524.04	$776.70	$1,600.52
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