Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.91 / $3,391.00 / $6,915.00	Facility		$937.91	$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 $1,031.64 / $1,031.64 / $1,031.64	Facility		$1,031.64	$1,031.64	$1,031.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $746.76 / $2,172.58	Facility		$640.00	$746.76	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.90 / $1,016.28 / $1,611.02	Professional		$714.90	$1,016.28	$1,611.02
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