Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.55 / $4,733.00 / $6,915.00	Facility		$657.55	$4,733.00	$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 $711.72 / $867.08 / $1,179.48	Facility		$711.72	$867.08	$1,179.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.82 / $469.82 / $2,172.58	Facility		$469.82	$469.82	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.80 / $682.67 / $1,172.78	Professional		$452.80	$682.67	$1,172.78
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