Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.59 / $2,800.00 / $6,915.00	Facility		$823.59	$2,800.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.80 / $1,012.50 / $1,459.19	Facility		$632.80	$1,012.50	$1,459.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $819.04 / $1,272.50	Facility		$640.00	$819.04	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.85 / $913.27 / $2,162.31	Professional		$599.85	$913.27	$2,162.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00