Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $4,829.00 / $6,915.00	Facility		$594.00	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $3,116.30 / $6,315.83	Facility		$1,155.80	$3,116.30	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $672.09 / $734.63 / $1,128.17	Facility		$672.09	$734.63	$1,128.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.12 / $2,034.12 / $2,034.12	Facility		$2,034.12	$2,034.12	$2,034.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.07 / $457.69 / $595.00	Professional		$352.07	$457.69	$595.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,581.00 / $7,647.00	Facility		$1,369.00	$4,581.00	$7,647.00