Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.52 / $4,829.00 / $6,915.00	Facility		$887.52	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $3,839.45 / $8,545.91	Facility		$1,376.26	$3,839.45	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,112.07 / $1,181.72 / $1,814.78	Facility		$1,112.07	$1,181.72	$1,814.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.29 / $758.29 / $1,847.69	Professional		$583.29	$758.29	$1,847.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00