Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.39 / $5,045.00 / $6,915.00	Facility		$529.39	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.35 / $627.99 / $964.41	Facility		$571.35	$627.99	$964.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $6,918.00 / $9,852.00	Facility		$2,090.96	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.30 / $389.09 / $1,757.40	Professional		$299.30	$389.09	$1,757.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00