Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.70 / $4,592.00 / $7,005.71	Facility		$645.70	$4,592.00	$7,005.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $644.44 / $644.44 / $644.44	Facility		$644.44	$644.44	$644.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $2,172.58	Facility		$639.45	$639.45	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.59 / $793.17 / $1,389.48	Professional		$616.59	$793.17	$1,389.48
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