Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.46 / $5,045.00 / $6,915.00	Facility		$875.46	$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 $1,249.77 / $1,249.77 / $1,249.77	Facility		$1,249.77	$1,249.77	$1,249.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $999.55	Facility		$200.00	$617.00	$999.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.27 / $1,132.65 / $2,018.95	Professional		$871.27	$1,132.65	$2,018.95
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