Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.94 / $3,826.00 / $6,915.00	Facility		$536.94	$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 $520.12 / $520.12 / $520.12	Facility		$520.12	$520.12	$520.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.35 / $404.35 / $974.44	Facility		$404.35	$404.35	$974.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.63 / $585.88 / $878.04	Professional		$389.63	$585.88	$878.04
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