Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.99 / $3,295.00 / $6,915.00	Facility		$648.99	$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 $743.69 / $901.35 / $1,307.81	Facility		$743.69	$901.35	$1,307.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.44 / $725.44 / $1,653.56	Facility		$725.44	$725.44	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.48 / $748.83 / $1,537.95	Professional		$513.48	$748.83	$1,537.95
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