Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.10 / $4,400.18 / $6,915.00	Facility		$453.10	$4,400.18	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.24 / $295.24 / $295.24	Facility		$295.24	$295.24	$295.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,233.00	Facility		$506.00	$703.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.08 / $288.70 / $1,341.00	Professional		$222.08	$288.70	$1,341.00
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,805.00 / $5,272.00	Facility		$550.00	$2,805.00	$5,272.00