Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.34 / $4,368.00 / $6,915.00	Facility		$925.34	$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 $1,093.49 / $1,328.91 / $74,999.25	Facility		$1,093.49	$1,328.91	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $693.97 / $1,009.41 / $5,087.30	Professional		$693.97	$1,009.41	$5,087.30
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