Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.82 / $5,045.00 / $6,915.00	Facility		$971.82	$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 $1,412.15 / $1,412.15 / $1,412.15	Facility		$1,412.15	$1,412.15	$1,412.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,105.96	Facility		$200.00	$617.00	$1,105.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $966.90 / $1,256.97 / $2,263.62	Professional		$966.90	$1,256.97	$2,263.62
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