Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.99 / $4,829.00 / $6,915.00	Facility		$830.99	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $989.75 / $1,206.45 / $74,999.25	Facility		$989.75	$1,206.45	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,325.29 / $1,668.88	Facility		$778.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.01 / $916.38 / $4,635.51	Professional		$630.01	$916.38	$4,635.51
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