Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.25 / $4,733.00 / $6,915.00	Facility		$916.25	$4,733.00	$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 $925.07 / $1,114.36 / $1,515.87	Facility		$925.07	$1,114.36	$1,515.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.91 / $605.91 / $2,172.58	Facility		$605.91	$605.91	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.92 / $879.57 / $1,311.38	Professional		$581.92	$879.57	$1,311.38
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