Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.38 / $3,826.00 / $6,915.00	Facility		$309.38	$3,826.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.18 / $301.18 / $301.18	Facility		$301.18	$301.18	$301.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $1,272.50	Facility		$222.44	$222.44	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.35 / $314.93 / $569.23	Professional		$226.35	$314.93	$569.23
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