Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.75 / $3,391.00 / $6,915.00	Facility		$148.75	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.04 / $266.04 / $266.04	Facility		$266.04	$266.04	$266.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $146.47 / $860.00	Facility		$146.47	$146.47	$860.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $162.25 / $1,142.89	Professional		$99.71	$162.25	$1,142.89
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00