Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.59 / $5,045.00 / $6,915.00	Facility		$723.59	$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 $996.48 / $1,209.65 / $74,999.25	Facility		$996.48	$1,209.65	$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 $631.69 / $806.69 / $4,066.55	Professional		$631.69	$806.69	$4,066.55
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