Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.25 / $2,221.00 / $7,177.85	Facility		$446.25	$2,221.00	$7,177.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.20 / $683.20 / $683.20	Facility		$683.20	$683.20	$683.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.70 / $583.70 / $1,153.31	Facility		$583.70	$583.70	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.79 / $581.34 / $1,061.35	Professional		$412.79	$581.34	$1,061.35
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00