Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.34 / $4,829.00 / $6,915.00	Facility		$515.34	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.73 / $575.73 / $575.73	Facility		$575.73	$575.73	$575.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $462.00 / $1,200.00	Facility		$462.00	$462.00	$1,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.98 / $659.22 / $1,002.76	Professional		$444.98	$659.22	$1,002.76
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