Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.82 / $5,063.00 / $9,488.00	Facility		$834.82	$5,063.00	$9,488.00
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 $674.85 / $674.85 / $674.85	Facility		$674.85	$674.85	$674.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.25 / $663.25 / $2,387.00	Facility		$663.25	$663.25	$2,387.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.54 / $930.26 / $2,097.00	Professional		$639.54	$930.26	$2,097.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00