Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.77 / $5,045.00 / $6,915.00	Facility		$596.77	$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 $646.16 / $646.16 / $646.16	Facility		$646.16	$646.16	$646.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.92 / $524.92 / $1,153.31	Facility		$524.92	$524.92	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.41 / $623.74 / $1,129.93	Professional		$501.41	$623.74	$1,129.93
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