Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.96 / $4,592.00 / $6,915.00	Facility		$977.96	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $896.63 / $896.63 / $896.63	Facility		$896.63	$896.63	$896.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.75 / $1,088.75 / $2,500.00	Facility		$1,088.75	$1,088.75	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.58 / $1,510.81 / $3,698.20	Professional		$1,039.58	$1,510.81	$3,698.20
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