Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.69 / $4,368.00 / $6,915.00	Facility		$632.69	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $651.26 / $651.26 / $651.26	Facility		$651.26	$651.26	$651.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $715.00 / $1,761.45	Facility		$453.00	$715.00	$1,761.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.83 / $557.48 / $1,003.94	Professional		$428.83	$557.48	$1,003.94
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00