Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.19 / $4,467.00 / $6,915.00	Facility		$924.19	$4,467.00	$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 $1,036.13 / $1,218.96 / $1,707.48	Facility		$1,036.13	$1,218.96	$1,707.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.87 / $678.87 / $2,172.58	Facility		$678.87	$678.87	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.49 / $986.63 / $1,477.14	Professional		$655.49	$986.63	$1,477.14
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