Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.52 / $3,043.00 / $6,915.00	Facility		$855.52	$3,043.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.53 / $1,023.42 / $1,392.17	Facility		$846.53	$1,023.42	$1,392.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.63 / $554.63 / $6,434.20	Facility		$554.63	$554.63	$6,434.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.44 / $769.00 / $1,475.42	Professional		$534.44	$769.00	$1,475.42
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