Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.61 / $5,063.00 / $7,391.00	Facility		$538.61	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,132.49 / $2,814.54 / $5,240.56	Facility		$1,132.49	$2,814.54	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.94 / $778.68 / $1,126.68	Facility		$674.94	$778.68	$1,126.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.48 / $450.48 / $1,918.46	Facility		$450.48	$450.48	$1,918.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.52 / $596.98 / $1,164.96	Professional		$432.52	$596.98	$1,164.96
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00