Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.96 / $4,592.00 / $6,915.00	Facility		$619.96	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $889.61 / $889.61 / $889.61	Facility		$889.61	$889.61	$889.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.53 / $848.53 / $1,349.77	Facility		$848.53	$848.53	$1,349.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.79 / $841.89 / $1,506.66	Professional		$597.79	$841.89	$1,506.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00