Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.88 / $4,592.00 / $6,915.00	Facility		$796.88	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $992.24 / $1,190.18 / $1,637.24	Facility		$992.24	$1,190.18	$1,637.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.22 / $975.22 / $4,830.16	Facility		$975.22	$975.22	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $678.02 / $973.49 / $1,856.25	Professional		$678.02	$973.49	$1,856.25
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