Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.50 / $4,841.00 / $6,915.00	Facility		$925.50	$4,841.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $963.27 / $963.27 / $963.27	Facility		$963.27	$963.27	$963.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.93 / $716.93 / $2,172.58	Facility		$716.93	$716.93	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $907.82 / $1,548.38	Professional		$687.10	$907.82	$1,548.38
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