Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.54 / $3,460.00 / $6,915.00	Facility		$727.54	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $516.50 / $516.50 / $516.50	Facility		$516.50	$516.50	$516.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $357.41 / $640.00	Facility		$177.38	$357.41	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.59 / $502.67 / $2,016.00	Professional		$345.59	$502.67	$2,016.00
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00