Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.42 / $5,063.00 / $6,915.00	Facility		$606.42	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.82 / $4,800.00 / $9,365.64	Facility		$1,651.82	$4,800.00	$9,365.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.88 / $690.95 / $1,061.08	Facility		$628.88	$690.95	$1,061.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.12 / $3,613.12 / $3,613.12	Facility		$3,613.12	$3,613.12	$3,613.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.84 / $2,821.82 / $9,747.57	Professional		$378.84	$2,821.82	$9,747.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,062.00 / $16,000.00	Facility		$3,293.00	$9,062.00	$16,000.00