Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.30 / $5,045.00 / $6,915.00	Facility		$333.30	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $490.39 / $490.39 / $490.39	Facility		$490.39	$490.39	$490.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.93 / $2,225.00 / $57,200.00	Facility		$374.93	$2,225.00	$57,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.19 / $474.01 / $958.58	Professional		$381.19	$474.01	$958.58
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00