Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.27 / $5,045.00 / $6,915.00	Facility		$862.27	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.27 / $6,959.71 / $17,687.80	Facility		$1,732.27	$6,959.71	$17,687.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,474.52 / $1,608.54 / $2,470.26	Facility		$1,474.52	$1,608.54	$2,470.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.41 / $1,004.13 / $1,643.63	Professional		$772.41	$1,004.13	$1,643.63
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00