Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.90 / $4,338.00 / $6,915.00	Facility		$995.90	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,033.46 / $1,251.18 / $1,867.19	Facility		$1,033.46	$1,251.18	$1,867.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.64 / $676.64 / $4,830.16	Facility		$676.64	$676.64	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.37 / $986.24 / $1,472.34	Professional		$653.37	$986.24	$1,472.34
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