Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.50 / $4,733.00 / $6,915.00	Facility		$792.50	$4,733.00	$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 $1,108.26 / $1,108.26 / $1,108.26	Facility		$1,108.26	$1,108.26	$1,108.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $777.32 / $777.32 / $1,153.31	Facility		$777.32	$777.32	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.35 / $1,075.42 / $1,666.10	Professional		$739.35	$1,075.42	$1,666.10
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