Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.75 / $3,911.00 / $6,915.00	Facility		$437.75	$3,911.00	$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 $440.11 / $440.11 / $440.11	Facility		$440.11	$440.11	$440.11
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 $235.75 / $306.48 / $716.71	Professional		$235.75	$306.48	$716.71
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