Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.14 / $5,045.00 / $6,915.00	Facility		$783.14	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,121.97 / $1,121.97 / $1,121.97	Facility		$1,121.97	$1,121.97	$1,121.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $896.98	Facility		$200.00	$617.00	$896.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.06 / $1,019.28 / $1,822.11	Professional		$784.06	$1,019.28	$1,822.11
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00