Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.14 / $4,338.00 / $6,915.00	Facility		$346.14	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.70 / $255.51 / $392.39	Facility		$230.70	$255.51	$392.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.58 / $1,091.58 / $1,091.58	Facility		$1,091.58	$1,091.58	$1,091.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $760.12 / $1,361.00	Professional		$132.94	$760.12	$1,361.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,136.00 / $5,352.00	Facility		$1,162.00	$3,136.00	$5,352.00