Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.62 / $2,800.00 / $6,915.00	Facility		$476.62	$2,800.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $735.39 / $896.25 / $1,219.17	Facility		$735.39	$896.25	$1,219.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $719.22 / $1,153.31	Facility		$640.00	$719.22	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.30 / $671.43 / $1,162.60	Professional		$489.30	$671.43	$1,162.60
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00