Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.29 / $3,391.00 / $6,915.00	Facility		$589.29	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $718.31 / $870.06 / $1,185.78	Facility		$718.31	$870.06	$1,185.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.30 / $471.30 / $1,653.56	Facility		$471.30	$471.30	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.22 / $625.01 / $1,025.82	Professional		$455.22	$625.01	$1,025.82
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