Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.18 / $4,791.00 / $7,419.00	Facility		$893.18	$4,791.00	$7,419.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $3,116.30 / $6,315.83	Facility		$1,155.80	$3,116.30	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $958.91 / $1,041.98 / $1,600.19	Facility		$958.91	$1,041.98	$1,600.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,128.69 / $2,128.69 / $2,128.69	Facility		$2,128.69	$2,128.69	$2,128.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.32 / $653.02 / $1,360.38	Professional		$502.32	$653.02	$1,360.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00