Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.44 / $3,963.00 / $6,915.00	Facility		$833.44	$3,963.00	$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 $784.92 / $784.92 / $784.92	Facility		$784.92	$784.92	$784.92
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 $511.12 / $664.46 / $1,196.58	Professional		$511.12	$664.46	$1,196.58
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