Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.97 / $5,045.00 / $6,915.00	Facility		$973.97	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,094.22 / $1,287.32 / $1,803.72	Facility		$1,094.22	$1,287.32	$1,803.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.55 / $717.55 / $6,696.74	Facility		$717.55	$717.55	$6,696.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.43 / $1,055.93 / $1,564.05	Professional		$692.43	$1,055.93	$1,564.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00