Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.02 / $4,592.00 / $6,915.00	Facility		$572.02	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $2,777.76 / $7,513.42	Facility		$715.00	$2,777.76	$7,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $800.16 / $800.16 / $800.16	Facility		$800.16	$800.16	$800.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $868.00 / $3,685.16	Facility		$512.00	$868.00	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.50 / $676.26 / $1,406.42	Professional		$520.50	$676.26	$1,406.42
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00