Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.56 / $5,045.00 / $6,915.00	Facility		$972.56	$5,045.00	$6,915.00
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 $1,062.41 / $1,062.41 / $1,062.41	Facility		$1,062.41	$1,062.41	$1,062.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.47 / $775.47 / $2,172.58	Facility		$775.47	$775.47	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $1,036.83 / $1,675.66	Professional		$743.58	$1,036.83	$1,675.66
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00