Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.43 / $2,987.00 / $6,915.00	Facility		$395.43	$2,987.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.52 / $500.52 / $500.52	Facility		$500.52	$500.52	$500.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.30 / $512.00 / $703.00	Facility		$301.30	$512.00	$703.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.33 / $439.83 / $701.59	Professional		$283.33	$439.83	$701.59
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00