Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.36 / $5,045.00 / $6,915.00	Facility		$929.36	$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 $1,348.45 / $1,348.45 / $1,348.45	Facility		$1,348.45	$1,348.45	$1,348.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,060.55	Facility		$200.00	$617.00	$1,060.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $923.61 / $1,200.69 / $2,162.28	Professional		$923.61	$1,200.69	$2,162.28
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