Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.82 / $3,391.00 / $6,915.00	Facility		$1,057.82	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,502.09 / $1,502.09 / $1,502.09	Facility		$1,502.09	$1,502.09	$1,502.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,233.00	Facility		$506.00	$703.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $891.91 / $2,247.61	Professional		$94.07	$891.91	$2,247.61
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00