Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.98 / $4,592.00 / $6,915.00	Facility		$468.98	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $9,469.26	Facility		$659.95	$3,801.18	$9,469.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.79 / $632.79 / $632.79	Facility		$632.79	$632.79	$632.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.61 / $538.99 / $970.65	Professional		$414.61	$538.99	$970.65
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00