Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.26 / $4,829.00 / $6,915.00	Facility		$706.26	$4,829.00	$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 $761.28 / $925.25 / $1,258.60	Facility		$761.28	$925.25	$1,258.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.07 / $501.07 / $2,172.58	Facility		$501.07	$501.07	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.16 / $731.54 / $1,088.81	Professional		$483.16	$731.54	$1,088.81
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