Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.50 / $4,708.00 / $6,915.00	Facility		$907.50	$4,708.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,625.09 / $13,137.87	Facility		$1,206.01	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,510.56 / $1,817.28 / $2,472.03	Facility		$1,510.56	$1,817.28	$2,472.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $984.92 / $984.92 / $12,735.28	Facility		$984.92	$984.92	$12,735.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $948.99 / $1,458.00 / $2,266.57	Professional		$948.99	$1,458.00	$2,266.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00