Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.75 / $2,622.50 / $6,858.00	Facility		$695.75	$2,622.50	$6,858.00
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 $350.35 / $473.24 / $560.75	Facility		$350.35	$473.24	$560.75
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 $350.35 / $455.46 / $1,546.47	Professional		$350.35	$455.46	$1,546.47
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $984.24 / $984.24 / $1,256.35	Professional	22	$984.24	$984.24	$1,256.35
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