Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.18 / $3,391.00 / $6,915.00	Facility		$233.18	$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 $103.89 / $168.20 / $239.55	Facility		$103.89	$168.20	$239.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.58 / $140.58 / $2,500.00	Facility		$140.58	$140.58	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $258.27 / $1,695.00	Professional		$94.69	$258.27	$1,695.00
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