Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.17 / $5,405.00 / $10,572.00	Facility		$940.17	$5,405.00	$10,572.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,851.84 / $13,523.26	Facility		$1,082.02	$3,851.84	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $911.04 / $1,100.99 / $1,497.68	Facility		$911.04	$1,100.99	$1,497.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.91 / $5,845.00 / $10,047.00	Facility		$596.91	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.94 / $822.30 / $1,705.03	Professional		$574.94	$822.30	$1,705.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $14,120.00	Facility		$1,519.00	$6,689.00	$14,120.00