Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.69 / $4,368.00 / $6,915.00	Facility		$771.69	$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 $743.28 / $743.28 / $743.28	Facility		$743.28	$743.28	$743.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.54 / $579.54 / $2,172.58	Facility		$579.54	$579.54	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.02 / $861.93 / $1,264.26	Professional		$561.02	$861.93	$1,264.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00