Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.20 / $3,391.00 / $6,915.00	Facility		$862.20	$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 $951.58 / $951.58 / $951.58	Facility		$951.58	$951.58	$951.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $714.69 / $2,172.58	Facility		$640.00	$714.69	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $680.97 / $925.61 / $1,534.56	Professional		$680.97	$925.61	$1,534.56
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