Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.70 / $3,826.00 / $6,915.00	Facility		$722.70	$3,826.00	$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 $808.01 / $808.01 / $808.01	Facility		$808.01	$808.01	$808.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.35 / $635.35 / $1,153.31	Facility		$635.35	$635.35	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.48 / $892.66 / $1,380.23	Professional		$612.48	$892.66	$1,380.23
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