Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.94 / $4,908.00 / $6,915.00	Facility		$893.94	$4,908.00	$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 $1,126.74 / $1,126.74 / $1,126.74	Facility		$1,126.74	$1,126.74	$1,126.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.66 / $580.66 / $2,172.58	Facility		$580.66	$580.66	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.92 / $814.45 / $1,261.79	Professional		$559.92	$814.45	$1,261.79
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