Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.08 / $3,391.00 / $6,915.00	Facility		$565.08	$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 $726.42 / $888.96 / $1,217.96	Facility		$726.42	$888.96	$1,217.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.09 / $498.09 / $1,153.31	Facility		$498.09	$498.09	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.56 / $551.77 / $1,053.64	Professional		$467.56	$551.77	$1,053.64
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