Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.65 / $4,468.00 / $6,915.00	Facility		$648.65	$4,468.00	$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 $630.07 / $630.07 / $630.07	Facility		$630.07	$630.07	$630.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.65 / $490.65 / $2,172.58	Facility		$490.65	$490.65	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.41 / $598.05 / $1,064.56	Professional		$472.41	$598.05	$1,064.56
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