Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.92 / $5,045.00 / $6,915.00	Facility		$797.92	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $854.55 / $1,038.63 / $1,412.84	Facility		$854.55	$1,038.63	$1,412.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.44 / $562.44 / $2,172.58	Facility		$562.44	$562.44	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.38 / $815.53 / $1,343.55	Professional		$542.38	$815.53	$1,343.55
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