Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.18 / $4,592.00 / $7,421.00	Facility		$848.18	$4,592.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $989.54 / $989.54 / $989.54	Facility		$989.54	$989.54	$989.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.24 / $685.24 / $2,172.58	Facility		$685.24	$685.24	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.10 / $948.51 / $1,469.52	Professional		$652.10	$948.51	$1,469.52
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