Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.00 / $3,826.00 / $6,915.00	Facility		$724.00	$3,826.00	$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 $956.41 / $956.41 / $956.41	Facility		$956.41	$956.41	$956.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $797.83 / $797.83 / $2,172.58	Facility		$797.83	$797.83	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.85 / $904.00 / $1,723.56	Professional		$764.85	$904.00	$1,723.56
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