Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.99 / $3,826.00 / $6,915.00	Facility		$977.99	$3,826.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,103.21 / $1,335.53 / $1,816.71	Facility		$1,103.21	$1,335.53	$1,816.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.76 / $722.76 / $4,830.16	Facility		$722.76	$722.76	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.42 / $1,063.60 / $1,571.63	Professional		$697.42	$1,063.60	$1,571.63
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