Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.86 / $5,045.00 / $6,915.00	Facility		$514.86	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $3,142.00 / $8,028.57	Facility		$722.00	$3,142.00	$8,028.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $801.35 / $801.35 / $801.35	Facility		$801.35	$801.35	$801.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $700.00 / $3,685.16	Facility		$512.00	$700.00	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.12 / $674.86 / $1,824.30	Professional		$519.12	$674.86	$1,824.30
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