Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.69 / $5,063.00 / $9,512.00	Facility		$727.69	$5,063.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $3,611.00 / $6,315.83	Facility		$1,350.00	$3,611.00	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $774.71 / $774.71 / $774.71	Facility		$774.71	$774.71	$774.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.83 / $575.83 / $2,172.58	Facility		$575.83	$575.83	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.57 / $844.93 / $1,251.95	Professional		$555.57	$844.93	$1,251.95
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