Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.90 / $3,460.00 / $6,915.00	Facility		$794.90	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,094.54 / $1,094.54 / $1,094.54	Facility		$1,094.54	$1,094.54	$1,094.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,060.80 / $1,918.46	Facility		$860.00	$1,060.80	$1,918.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.71 / $1,024.00 / $1,893.42	Professional		$746.71	$1,024.00	$1,893.42
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