Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.30 / $3,391.00 / $6,915.00	Facility		$476.30	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.65 / $474.65 / $474.65	Facility		$474.65	$474.65	$474.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.19 / $377.19 / $1,153.31	Facility		$377.19	$377.19	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.32 / $543.97 / $818.73	Professional		$363.32	$543.97	$818.73
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