Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.94 / $5,045.00 / $6,915.00	Facility		$982.94	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,064.97 / $1,283.18 / $1,745.51	Facility		$1,064.97	$1,283.18	$1,745.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.50 / $694.50 / $4,830.16	Facility		$694.50	$694.50	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.09 / $954.74 / $1,510.03	Professional		$670.09	$954.74	$1,510.03
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