Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.10 / $4,908.00 / $6,915.00	Facility		$688.10	$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 $1,170.96 / $1,421.93 / $1,934.24	Facility		$1,170.96	$1,421.93	$1,934.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.64 / $769.64 / $2,172.58	Facility		$769.64	$769.64	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.54 / $1,122.15 / $1,950.04	Professional		$742.54	$1,122.15	$1,950.04
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