Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.98 / $5,063.00 / $7,391.00	Facility		$924.98	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $981.48 / $1,186.38 / $1,613.84	Facility		$981.48	$1,186.38	$1,613.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.67 / $641.67 / $2,172.58	Facility		$641.67	$641.67	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.54 / $951.84 / $1,396.12	Professional		$619.54	$951.84	$1,396.12
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