Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.20 / $4,613.00 / $6,915.00	Facility		$773.20	$4,613.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $908.60 / $1,100.57 / $1,497.09	Facility		$908.60	$1,100.57	$1,497.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.54 / $595.54 / $1,000.00	Facility		$595.54	$595.54	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.73 / $831.94 / $1,295.13	Professional		$574.73	$831.94	$1,295.13
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