Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.45 / $4,829.00 / $6,915.00	Facility		$704.45	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $3,839.45 / $8,545.91	Facility		$1,376.26	$3,839.45	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $863.84 / $950.93 / $1,460.34	Facility		$863.84	$950.93	$1,460.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.25 / $6,918.00 / $9,852.00	Facility		$3,185.25	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.51 / $588.26 / $2,274.96	Professional		$452.51	$588.26	$2,274.96
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