Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.01 / $4,592.00 / $11,445.00	Facility		$806.01	$4,592.00	$11,445.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $3,654.66 / $21,112.96	Facility		$964.00	$3,654.66	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $880.41 / $1,065.72 / $1,449.69	Facility		$880.41	$1,065.72	$1,449.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.58 / $576.58 / $4,830.16	Facility		$576.58	$576.58	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.52 / $800.56 / $1,254.10	Professional		$556.52	$800.56	$1,254.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00