Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.71 / $5,045.00 / $6,915.00	Facility		$827.71	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,120.00 / $6,315.83	Facility		$1,082.02	$3,120.00	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $986.72 / $1,192.53 / $1,622.18	Facility		$986.72	$1,192.53	$1,622.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.02 / $645.02 / $2,172.58	Facility		$645.02	$645.02	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.74 / $956.76 / $1,403.32	Professional		$622.74	$956.76	$1,403.32
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00