Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.36 / $5,045.00 / $6,915.00	Facility		$688.36	$5,045.00	$6,915.00
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 $763.16 / $920.43 / $1,252.05	Facility		$763.16	$920.43	$1,252.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.23 / $501.23 / $2,172.58	Facility		$501.23	$501.23	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $702.74 / $1,083.14	Professional		$480.66	$702.74	$1,083.14
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