Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.20 / $5,045.00 / $6,915.00	Facility		$745.20	$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 $1,076.79 / $1,076.79 / $1,076.79	Facility		$1,076.79	$1,076.79	$1,076.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $852.18	Facility		$200.00	$617.00	$852.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.41 / $966.43 / $1,728.35	Professional		$743.41	$966.43	$1,728.35
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