Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.63 / $3,295.00 / $6,915.00	Facility		$582.63	$3,295.00	$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 $587.28 / $710.67 / $1,061.06	Facility		$587.28	$710.67	$1,061.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.02 / $577.02 / $2,172.58	Facility		$577.02	$577.02	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.86 / $613.58 / $1,261.59	Professional		$404.86	$613.58	$1,261.59
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