Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.82 / $5,045.00 / $7,391.00	Facility		$962.82	$5,045.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,114.24 / $1,114.24 / $1,114.24	Facility		$1,114.24	$1,114.24	$1,114.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.73 / $815.73 / $2,172.58	Facility		$815.73	$815.73	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $781.26 / $1,113.00 / $1,760.54	Professional		$781.26	$1,113.00	$1,760.54
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