Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.75 / $2,978.60 / $6,915.00	Facility		$695.75	$2,978.60	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,098.00 / $6,065.87	Facility		$572.89	$2,098.00	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.88 / $638.88 / $638.88	Facility		$638.88	$638.88	$638.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $2,369.50	Facility		$448.00	$715.00	$2,369.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.12 / $446.06 / $1,386.91	Professional		$343.12	$446.06	$1,386.91
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $963.95 / $963.95 / $1,230.43	Professional	22	$963.95	$963.95	$1,230.43
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