Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.85 / $4,815.00 / $7,421.00	Facility		$741.85	$4,815.00	$7,421.00
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 $954.77 / $1,285.89 / $1,786.74	Facility		$954.77	$1,285.89	$1,786.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.84 / $709.84 / $1,653.56	Facility		$709.84	$709.84	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.92 / $906.30 / $1,545.70	Professional		$685.92	$906.30	$1,545.70
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