Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.25 / $4,592.00 / $11,837.00	Facility		$216.25	$4,592.00	$11,837.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.84 / $2,805.30 / $5,292.58	Facility		$1,034.84	$2,805.30	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $117.94 / $172.33	Facility		$84.12	$117.94	$172.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,068.00 / $6,851.00 / $7,241.00	Facility		$6,068.00	$6,851.00	$7,241.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $117.77 / $520.32	Professional		$100.94	$117.77	$520.32
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00