Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $4,592.00 / $6,915.00	Facility		$984.00	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.50 / $2,601.00 / $7,513.42	Facility		$637.50	$2,601.00	$7,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,091.88 / $1,284.57 / $1,782.72	Facility		$1,091.88	$1,284.57	$1,782.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $715.00 / $3,685.16	Facility		$512.00	$715.00	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.15 / $808.80 / $1,456.54	Professional		$622.15	$808.80	$1,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $6,472.00 / $11,831.32	Facility		$765.00	$6,472.00	$11,831.32