Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.00 / $5,045.00 / $6,915.00	Facility		$929.00	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,795.56 / $6,271.28	Facility		$875.94	$2,795.56	$6,271.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,211.63 / $1,494.18 / $74,999.25	Facility		$1,211.63	$1,494.18	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,732.09 / $2,181.15	Facility		$630.00	$1,732.09	$2,181.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.27 / $1,117.46 / $5,748.76	Professional		$780.27	$1,117.46	$5,748.76
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00