Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.05 / $3,043.00 / $6,915.00	Facility		$946.05	$3,043.00	$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 $1,012.65 / $1,103.75 / $1,695.03	Facility		$1,012.65	$1,103.75	$1,695.03
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 $530.48 / $689.62 / $1,677.66	Professional		$530.48	$689.62	$1,677.66
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