Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.30 / $3,295.00 / $6,915.00	Facility		$594.30	$3,295.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $622.88 / $756.99 / $1,125.35	Facility		$622.88	$756.99	$1,125.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.16 / $610.16 / $1,653.56	Facility		$610.16	$610.16	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.24 / $651.44 / $1,345.68	Professional		$431.24	$651.44	$1,345.68
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