Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $4,368.00 / $6,915.00	Facility		$838.00	$4,368.00	$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 $955.13 / $1,151.70 / $1,566.66	Facility		$955.13	$1,151.70	$1,566.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.95 / $621.95 / $1,653.56	Facility		$621.95	$621.95	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.42 / $848.95 / $1,355.30	Professional		$601.42	$848.95	$1,355.30
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