Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.04 / $3,295.00 / $6,915.00	Facility		$572.04	$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 $718.10 / $718.10 / $718.10	Facility		$718.10	$718.10	$718.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.47 / $616.47 / $2,172.58	Facility		$616.47	$616.47	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.12 / $630.17 / $1,287.55	Professional		$432.12	$630.17	$1,287.55
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