Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.05 / $3,391.00 / $6,915.00	Facility		$855.05	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $944.69 / $944.69 / $944.69	Facility		$944.69	$944.69	$944.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $731.84 / $2,172.58	Facility		$640.00	$731.84	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.09 / $920.26 / $1,570.88	Professional		$697.09	$920.26	$1,570.88
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