Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.12 / $5,055.00 / $10,897.00	Facility		$872.12	$5,055.00	$10,897.00
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 $733.48 / $733.48 / $733.48	Facility		$733.48	$733.48	$733.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $684.46 / $2,172.58	Facility		$684.46	$684.46	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.09 / $890.30 / $1,487.52	Professional		$660.09	$890.30	$1,487.52
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