Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.10 / $4,368.00 / $6,915.00	Facility		$906.10	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,210.33 / $1,475.60 / $74,999.25	Facility		$1,210.33	$1,475.60	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,325.29 / $1,668.88	Facility		$551.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.56 / $1,076.52 / $5,676.36	Professional		$770.56	$1,076.52	$5,676.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00