Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $4,368.00 / $6,915.00	Facility		$656.25	$4,368.00	$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 $767.87 / $767.87 / $767.87	Facility		$767.87	$767.87	$767.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $585.13 / $1,153.31	Facility		$585.13	$585.13	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.09 / $852.67 / $1,271.16	Professional		$564.09	$852.67	$1,271.16
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