Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.60 / $5,367.00 / $9,512.00	Facility		$404.60	$5,367.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.17 / $2,444.57 / $4,875.60	Facility		$957.17	$2,444.57	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $528.54 / $528.54	Facility		$528.54	$528.54	$528.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $1,315.00 / $1,765.90	Facility		$506.00	$1,315.00	$1,765.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.69 / $484.63 / $869.21	Professional		$386.69	$484.63	$869.21
United Facility/Professional Facility Modifier Low / Median / High Price $685.00 / $4,752.00 / $8,448.00	Facility		$685.00	$4,752.00	$8,448.00