Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.75 / $4,592.00 / $7,421.00	Facility		$747.75	$4,592.00	$7,421.00
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 $1,055.69 / $1,055.69 / $1,055.69	Facility		$1,055.69	$1,055.69	$1,055.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.44 / $737.44 / $1,153.31	Facility		$737.44	$737.44	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.79 / $1,020.78 / $1,581.47	Professional		$701.79	$1,020.78	$1,581.47
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