Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.99 / $3,460.00 / $6,915.00	Facility		$803.99	$3,460.00	$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 $630.84 / $630.84 / $630.84	Facility		$630.84	$630.84	$630.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,091.58	Facility		$448.00	$715.00	$1,091.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.72 / $328.54 / $1,504.91	Professional		$252.72	$328.54	$1,504.91
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $709.98 / $709.98 / $906.25	Professional	22	$709.98	$709.98	$906.25
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00