Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.46 / $2,987.00 / $6,915.00	Facility		$576.46	$2,987.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $848.86 / $848.86 / $848.86	Facility		$848.86	$848.86	$848.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.12 / $585.12 / $974.44	Facility		$585.12	$585.12	$974.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.95 / $660.99 / $1,356.40	Professional		$408.95	$660.99	$1,356.40
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00