Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.16 / $3,295.00 / $6,915.00	Facility		$571.16	$3,295.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.96 / $1,070.82 / $1,456.62	Facility		$881.96	$1,070.82	$1,456.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $861.80 / $1,153.31	Facility		$860.00	$861.80	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.60 / $792.01 / $1,393.63	Professional		$584.60	$792.01	$1,393.63
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00