Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.45 / $4,908.00 / $6,915.00	Facility		$916.45	$4,908.00	$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 $1,001.57 / $1,208.52 / $1,643.94	Facility		$1,001.57	$1,208.52	$1,643.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.70 / $654.70 / $2,172.58	Facility		$654.70	$654.70	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.09 / $886.15 / $1,441.62	Professional		$631.09	$886.15	$1,441.62
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