Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.63 / $5,045.00 / $6,915.00	Facility		$778.63	$5,045.00	$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 $1,154.27 / $1,154.27 / $1,154.27	Facility		$1,154.27	$1,154.27	$1,154.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.05 / $504.05 / $2,172.58	Facility		$504.05	$504.05	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.97 / $738.11 / $1,170.00	Professional		$485.97	$738.11	$1,170.00
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