Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.68 / $4,592.00 / $6,915.00	Facility		$505.68	$4,592.00	$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 $554.60 / $665.31 / $1,002.02	Facility		$554.60	$665.31	$1,002.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.65 / $545.65 / $2,172.58	Facility		$545.65	$545.65	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.02 / $556.40 / $1,138.65	Professional		$379.02	$556.40	$1,138.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00