Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.87 / $4,338.00 / $6,915.00	Facility		$596.87	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.48 / $579.48 / $579.48	Facility		$579.48	$579.48	$579.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.59 / $411.59 / $4,830.16	Facility		$411.59	$411.59	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.61 / $570.16 / $884.73	Professional		$392.61	$570.16	$884.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00