Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.98 / $4,613.00 / $7,421.00	Facility		$899.98	$4,613.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,061.21 / $1,283.18 / $1,745.51	Facility		$1,061.21	$1,283.18	$1,745.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.13 / $694.13 / $4,830.16	Facility		$694.13	$694.13	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.09 / $1,029.50 / $1,510.02	Professional		$670.09	$1,029.50	$1,510.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00