Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $3,164.00 / $6,915.00	Facility		$656.25	$3,164.00	$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 $686.14 / $686.14 / $686.14	Facility		$686.14	$686.14	$686.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.66 / $519.66 / $1,153.31	Facility		$519.66	$519.66	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.07 / $759.28 / $1,129.15	Professional		$501.07	$759.28	$1,129.15
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