Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.36 / $3,391.00 / $6,915.00	Facility		$907.36	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,111.61 / $1,346.51 / $1,831.64	Facility		$1,111.61	$1,346.51	$1,831.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $728.34 / $1,153.31	Facility		$640.00	$728.34	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $1,061.69 / $1,584.55	Professional		$703.15	$1,061.69	$1,584.55
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