Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.55 / $3,295.00 / $6,915.00	Facility		$465.55	$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 $510.35 / $618.69 / $922.07	Facility		$510.35	$618.69	$922.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.55 / $501.55 / $2,172.58	Facility		$501.55	$501.55	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.46 / $539.76 / $1,114.99	Professional		$352.46	$539.76	$1,114.99
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