Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.42 / $4,829.00 / $6,915.00	Facility		$969.42	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $994.70 / $1,196.84 / $1,628.07	Facility		$994.70	$1,196.84	$1,628.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.37 / $652.37 / $2,172.58	Facility		$652.37	$652.37	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.01 / $911.57 / $1,793.77	Professional		$625.01	$911.57	$1,793.77
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