Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.47 / $3,391.00 / $6,915.00	Facility		$533.47	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.23 / $897.92 / $1,281.63	Facility		$763.23	$897.92	$1,281.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.85 / $511.85 / $1,200.00	Facility		$511.85	$511.85	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.01 / $702.95 / $1,108.74	Professional		$492.01	$702.95	$1,108.74
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