Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $7,362.00 / $10,821.00	Facility		$1,359.00	$7,362.00	$10,821.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.00 / $5,570.00 / $9,622.00	Facility		$2,873.00	$5,570.00	$9,622.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $5,036.60 / $8,400.00	Facility		$1,425.00	$5,036.60	$8,400.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $20,022.00 / $120,000.00	Facility		$100.00	$20,022.00	$120,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,136.00 / $2,190.00 / $8,804.00	Facility		$1,136.00	$2,190.00	$8,804.00