Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.38 / $4,829.00 / $6,915.00	Facility		$533.38	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $685.94 / $835.55 / $1,136.58	Facility		$685.94	$835.55	$1,136.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.71 / $452.71 / $1,200.00	Facility		$452.71	$452.71	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.33 / $654.19 / $983.24	Professional		$436.33	$654.19	$983.24
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