Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.37 / $5,045.00 / $6,915.00	Facility		$666.37	$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 $727.74 / $800.63 / $1,229.54	Facility		$727.74	$800.63	$1,229.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,661.79 / $6,918.00 / $9,852.00	Facility		$2,661.79	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.22 / $495.59 / $2,106.21	Professional		$381.22	$495.59	$2,106.21
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