Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.23 / $5,063.00 / $9,488.00	Facility		$703.23	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $3,616.62 / $6,315.83	Facility		$1,350.00	$3,616.62	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $859.04 / $1,035.38 / $1,408.43	Facility		$859.04	$1,035.38	$1,408.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.64 / $843.64 / $2,172.58	Facility		$843.64	$843.64	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.84 / $838.93 / $1,617.32	Professional		$589.84	$838.93	$1,617.32
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