Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.58 / $3,295.00 / $6,915.00	Facility		$286.58	$3,295.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,795.56 / $6,315.83	Facility		$989.09	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.08 / $338.61 / $520.01	Facility		$309.08	$338.61	$520.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $453.73 / $1,033.57	Professional		$186.19	$453.73	$1,033.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00