Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.02 / $3,391.00 / $6,915.00	Facility		$817.02	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $938.90 / $1,142.04 / $1,553.51	Facility		$938.90	$1,142.04	$1,553.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.24 / $618.24 / $2,172.58	Facility		$618.24	$618.24	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.38 / $897.39 / $1,343.93	Professional		$596.38	$897.39	$1,343.93
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