Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.90 / $4,368.00 / $6,915.00	Facility		$827.90	$4,368.00	$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 $1,021.77 / $1,247.70 / $1,697.25	Facility		$1,021.77	$1,247.70	$1,697.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $675.90 / $4,830.16	Facility		$675.90	$675.90	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.55 / $888.50 / $1,468.28	Professional		$651.55	$888.50	$1,468.28
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