Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.50 / $5,045.00 / $6,915.00	Facility		$792.50	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.12 / $954.12 / $954.12	Facility		$954.12	$954.12	$954.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.63 / $682.63 / $1,153.31	Facility		$682.63	$682.63	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.23 / $944.34 / $1,463.02	Professional		$649.23	$944.34	$1,463.02
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