Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,826.00 / $6,915.00	Facility		$838.00	$3,826.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.62 / $398.62 / $398.62	Facility		$398.62	$398.62	$398.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.58 / $677.58 / $6,775.52	Facility		$677.58	$677.58	$6,775.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.94 / $754.75 / $1,475.90	Professional		$654.94	$754.75	$1,475.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00