Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.82 / $4,829.00 / $6,915.00	Facility		$888.82	$4,829.00	$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 $982.16 / $1,185.02 / $1,611.98	Facility		$982.16	$1,185.02	$1,611.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.19 / $643.19 / $2,172.58	Facility		$643.19	$643.19	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.83 / $892.14 / $1,394.51	Professional		$618.83	$892.14	$1,394.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00