Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.18 / $2,987.00 / $6,915.00	Facility		$368.18	$2,987.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.93 / $455.27 / $682.80	Facility		$377.93	$455.27	$682.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.26 / $368.26 / $1,653.56	Facility		$368.26	$368.26	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.36 / $421.40 / $869.10	Professional		$259.36	$421.40	$869.10
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