Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.36 / $3,963.00 / $6,915.00	Facility		$643.36	$3,963.00	$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 $704.48 / $858.57 / $1,167.92	Facility		$704.48	$858.57	$1,167.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.35 / $465.35 / $2,172.58	Facility		$465.35	$465.35	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.35 / $628.66 / $1,010.36	Professional		$448.35	$628.66	$1,010.36
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