Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.66 / $4,613.00 / $6,915.00	Facility		$640.66	$4,613.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.50 / $2,601.00 / $7,513.42	Facility		$637.50	$2,601.00	$7,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $826.25 / $826.25 / $826.25	Facility		$826.25	$826.25	$826.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $3,685.16	Facility		$512.00	$703.00	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.74 / $747.16 / $1,345.55	Professional		$574.74	$747.16	$1,345.55
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