Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.93 / $5,045.00 / $6,915.00	Facility		$769.93	$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 $1,099.89 / $1,099.89 / $1,099.89	Facility		$1,099.89	$1,099.89	$1,099.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $883.82	Facility		$200.00	$617.00	$883.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.51 / $1,001.66 / $1,775.54	Professional		$770.51	$1,001.66	$1,775.54
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