Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.94 / $4,592.00 / $6,915.00	Facility		$622.94	$4,592.00	$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 $813.94 / $813.94 / $813.94	Facility		$813.94	$813.94	$813.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $718.48 / $718.48 / $6,656.75	Facility		$718.48	$718.48	$6,656.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.65 / $730.12 / $1,416.30	Professional		$500.65	$730.12	$1,416.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00