Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.41 / $5,045.00 / $6,915.00	Facility		$809.41	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.72 / $1,123.20 / $74,999.25	Facility		$954.72	$1,123.20	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,325.29 / $1,668.88	Facility		$630.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.54 / $882.26 / $4,454.39	Professional		$606.54	$882.26	$4,454.39
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