Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.36 / $4,592.00 / $7,421.00	Facility		$905.36	$4,592.00	$7,421.00
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 $1,104.50 / $1,104.50 / $1,104.50	Facility		$1,104.50	$1,104.50	$1,104.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.71 / $606.71 / $2,172.58	Facility		$606.71	$606.71	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $887.34 / $1,318.78	Professional		$585.22	$887.34	$1,318.78
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