Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.72 / $4,368.00 / $6,915.00	Facility		$760.72	$4,368.00	$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 $552.39 / $552.39 / $552.39	Facility		$552.39	$552.39	$552.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.12 / $633.12 / $2,172.58	Facility		$633.12	$633.12	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.36 / $684.94 / $1,375.42	Professional		$610.36	$684.94	$1,375.42
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