Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.09 / $4,829.00 / $6,915.00	Facility		$618.09	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.17 / $2,753.31 / $5,240.56	Facility		$1,078.17	$2,753.31	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $876.14 / $949.05 / $1,457.48	Facility		$876.14	$949.05	$1,457.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.96 / $596.65 / $844.48	Professional		$458.96	$596.65	$844.48
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $14.66 / $14.66 / $14.66	Professional	AS	$14.66	$14.66	$14.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,594.00 / $7,647.00	Facility		$1,369.00	$4,594.00	$7,647.00