Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.94 / $5,978.00 / $15,000.00	Facility		$643.94	$5,978.00	$15,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $4,139.00 / $21,112.96	Facility		$1,350.00	$4,139.00	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.23 / $968.09 / $1,316.88	Facility		$795.23	$968.09	$1,316.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.12 / $524.12 / $2,172.58	Facility		$524.12	$524.12	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.54 / $702.82 / $1,302.55	Professional		$505.54	$702.82	$1,302.55
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