Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.52 / $4,275.00 / $6,915.00	Facility		$551.52	$4,275.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,706.44 / $5,240.56	Facility		$1,039.14	$2,706.44	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $629.29 / $759.63 / $1,070.93	Facility		$629.29	$759.63	$1,070.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.04 / $618.04 / $1,272.50	Facility		$618.04	$618.04	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.76 / $631.10 / $1,287.24	Professional		$432.76	$631.10	$1,287.24
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