Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.87 / $4,708.00 / $7,275.00	Facility		$686.87	$4,708.00	$7,275.00
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 $861.77 / $1,037.96 / $1,411.92	Facility		$861.77	$1,037.96	$1,411.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $846.64 / $846.64 / $2,172.58	Facility		$846.64	$846.64	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $591.29 / $771.19 / $1,573.19	Professional		$591.29	$771.19	$1,573.19
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