Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.48 / $4,368.00 / $6,915.00	Facility		$692.48	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.07 / $816.18 / $1,110.26	Facility		$676.07	$816.18	$1,110.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.88 / $444.88 / $1,153.31	Facility		$444.88	$444.88	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.22 / $640.04 / $960.48	Professional		$426.22	$640.04	$960.48
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