Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.74 / $2,800.00 / $6,915.00	Facility		$746.74	$2,800.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,094.98	Facility		$1,094.98	$1,094.98	$1,094.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $892.49 / $1,153.31	Facility		$640.00	$892.49	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.16 / $895.83 / $1,708.17	Professional		$629.16	$895.83	$1,708.17
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