Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.67 / $4,908.00 / $6,915.00	Facility		$795.67	$4,908.00	$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 $792.09 / $964.58 / $1,312.11	Facility		$792.09	$964.58	$1,312.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.64 / $522.64 / $2,172.58	Facility		$522.64	$522.64	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.70 / $753.69 / $1,135.09	Professional		$503.70	$753.69	$1,135.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00