Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.02 / $3,460.00 / $6,915.00	Facility		$806.02	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.84 / $3,640.00 / $8,545.91	Facility		$1,034.84	$3,640.00	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,138.28 / $1,209.56 / $1,857.54	Facility		$1,138.28	$1,209.56	$1,857.54
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 $606.20 / $788.06 / $1,041.74	Professional		$606.20	$788.06	$1,041.74
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