Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.44 / $5,063.00 / $9,488.00	Facility		$625.44	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $3,616.62 / $6,315.83	Facility		$1,350.00	$3,616.62	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $701.40 / $848.88 / $1,267.23	Facility		$701.40	$848.88	$1,267.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.54 / $684.54 / $1,875.00	Facility		$684.54	$684.54	$1,875.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.60 / $705.25 / $1,433.04	Professional		$483.60	$705.25	$1,433.04
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