Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.17 / $4,467.00 / $6,915.00	Facility		$632.17	$4,467.00	$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 $614.76 / $614.76 / $614.76	Facility		$614.76	$614.76	$614.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.54 / $457.54 / $2,172.58	Facility		$457.54	$457.54	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $641.41 / $993.75	Professional		$440.98	$641.41	$993.75
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