Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.99 / $3,295.00 / $6,915.00	Facility		$549.99	$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 $646.28 / $787.40 / $1,102.58	Facility		$646.28	$787.40	$1,102.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $631.58 / $631.58 / $1,653.56	Facility		$631.58	$631.58	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.57 / $670.55 / $1,401.44	Professional		$448.57	$670.55	$1,401.44
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