Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.91 / $4,592.00 / $6,915.00	Facility		$622.91	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $671.46 / $818.76 / $1,113.75	Facility		$671.46	$818.76	$1,113.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.77 / $443.77 / $1,153.31	Facility		$443.77	$443.77	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.56 / $644.90 / $1,234.71	Professional		$427.56	$644.90	$1,234.71
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