Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.90 / $3,391.00 / $6,915.00	Facility		$901.90	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $949.03 / $949.03 / $949.03	Facility		$949.03	$949.03	$949.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $771.00 / $2,172.58	Facility		$640.00	$771.00	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.30 / $1,013.60 / $1,675.03	Professional		$743.30	$1,013.60	$1,675.03
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