Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.32 / $5,045.00 / $6,915.00	Facility		$836.32	$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 $1,200.73 / $1,200.73 / $1,200.73	Facility		$1,200.73	$1,200.73	$1,200.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $952.91	Facility		$200.00	$617.00	$952.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $841.06 / $1,093.38 / $1,934.56	Professional		$841.06	$1,093.38	$1,934.56
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00