Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.28 / $5,045.00 / $6,915.00	Facility		$666.28	$5,045.00	$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 $736.72 / $736.72 / $736.72	Facility		$736.72	$736.72	$736.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.88 / $555.88 / $2,172.58	Facility		$555.88	$555.88	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.02 / $740.00 / $1,192.15	Professional		$529.02	$740.00	$1,192.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00