Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.67 / $5,045.00 / $6,915.00	Facility		$828.67	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $936.20 / $1,134.99 / $1,543.92	Facility		$936.20	$1,134.99	$1,543.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $2,172.58	Facility		$614.15	$614.15	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.70 / $895.46 / $1,335.66	Professional		$592.70	$895.46	$1,335.66
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