Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.98 / $4,592.00 / $6,915.00	Facility		$359.98	$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 $388.44 / $456.98 / $701.79	Facility		$388.44	$456.98	$701.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.22 / $379.22 / $1,653.56	Facility		$379.22	$379.22	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $499.73 / $1,040.41	Professional		$268.37	$499.73	$1,040.41
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