Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.91 / $5,170.00 / $10,883.00	Facility		$585.91	$5,170.00	$10,883.00
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 $722.52 / $876.87 / $1,192.80	Facility		$722.52	$876.87	$1,192.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.19 / $5,845.00 / $10,047.00	Facility		$706.19	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.55 / $705.60 / $1,367.66	Professional		$499.55	$705.60	$1,367.66
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