Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.94 / $3,460.00 / $6,915.00	Facility		$408.94	$3,460.00	$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 $474.24 / $585.20 / $856.82	Facility		$474.24	$585.20	$856.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.00 / $465.00 / $2,172.58	Facility		$465.00	$465.00	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.37 / $581.40 / $1,220.25	Professional		$333.37	$581.40	$1,220.25
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