Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.93 / $3,391.00 / $6,915.00	Facility		$661.93	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.72 / $935.49 / $1,272.53	Facility		$770.72	$935.49	$1,272.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.04 / $507.04 / $2,172.58	Facility		$507.04	$507.04	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.52 / $710.58 / $1,752.08	Professional		$488.52	$710.58	$1,752.08
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00