Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.67 / $5,063.00 / $8,331.00	Facility		$789.67	$5,063.00	$8,331.00
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 $813.54 / $889.26 / $1,365.66	Facility		$813.54	$889.26	$1,365.66
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 $426.17 / $554.02 / $1,768.72	Professional		$426.17	$554.02	$1,768.72
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