Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.76 / $3,460.00 / $6,915.00	Facility		$501.76	$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 $612.12 / $612.12 / $612.12	Facility		$612.12	$612.12	$612.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $642.04 / $974.44	Facility		$642.04	$642.04	$974.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $634.89 / $1,209.94	Professional		$454.92	$634.89	$1,209.94
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