Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.94 / $4,829.00 / $6,915.00	Facility		$1,049.94	$4,829.00	$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 $1,135.60 / $1,135.60 / $1,135.60	Facility		$1,135.60	$1,135.60	$1,135.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $902.20	Facility		$200.00	$617.00	$902.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $788.11 / $1,024.54 / $1,833.99	Professional		$788.11	$1,024.54	$1,833.99
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00