Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.50 / $4,817.00 / $6,915.00	Facility		$887.50	$4,817.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $2,619.03 / $6,065.87	Facility		$659.95	$2,619.03	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $833.56 / $833.56 / $833.56	Facility		$833.56	$833.56	$833.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $868.00 / $2,128.69	Facility		$512.00	$868.00	$2,128.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.91 / $772.10 / $1,351.77	Professional		$593.91	$772.10	$1,351.77
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00