Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.07 / $3,460.00 / $6,915.00	Facility		$720.07	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.72 / $763.72 / $763.72	Facility		$763.72	$763.72	$763.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.97 / $589.97 / $2,172.58	Facility		$589.97	$589.97	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.36 / $782.29 / $1,280.80	Professional		$568.36	$782.29	$1,280.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00