Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.59 / $5,411.00 / $11,536.00	Facility		$869.59	$5,411.00	$11,536.00
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 $801.90 / $962.93 / $1,309.85	Facility		$801.90	$962.93	$1,309.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.99 / $5,845.00 / $10,047.00	Facility		$527.99	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.84 / $751.80 / $1,852.98	Professional		$502.84	$751.80	$1,852.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00