Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.09 / $4,368.00 / $6,915.00	Facility		$746.09	$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 $958.32 / $1,127.43 / $1,573.20	Facility		$958.32	$1,127.43	$1,573.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.92 / $624.92 / $1,653.56	Facility		$624.92	$624.92	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.94 / $921.15 / $1,360.97	Professional		$603.94	$921.15	$1,360.97
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