Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $4,613.00 / $6,915.00	Facility		$840.00	$4,613.00	$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 $1,062.33 / $1,249.80 / $1,747.37	Facility		$1,062.33	$1,249.80	$1,747.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.86 / $694.86 / $4,830.16	Facility		$694.86	$694.86	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.80 / $1,025.76 / $1,511.63	Professional		$670.80	$1,025.76	$1,511.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00