Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.81 / $4,841.00 / $6,915.00	Facility		$871.81	$4,841.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $847.02 / $847.02 / $847.02	Facility		$847.02	$847.02	$847.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.95 / $637.95 / $2,172.58	Facility		$637.95	$637.95	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.44 / $929.99 / $1,386.89	Professional		$615.44	$929.99	$1,386.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00