Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.66 / $3,295.00 / $6,915.00	Facility		$762.66	$3,295.00	$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 $923.97 / $1,124.51 / $74,999.25	Facility		$923.97	$1,124.51	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,227.11 / $5,008.00 / $9,852.00	Facility		$1,227.11	$5,008.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.92 / $866.13 / $4,316.72	Professional		$613.92	$866.13	$4,316.72
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