Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,391.00 / $6,915.00	Facility		$632.00	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.46 / $521.73 / $613.41	Facility		$443.46	$521.73	$613.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.52 / $424.52 / $424.52	Facility		$424.52	$424.52	$424.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.04 / $1,470.14 / $5,387.00	Professional		$297.04	$1,470.14	$5,387.00
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00