Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $4,947.00 / $7,631.00	Facility		$1,352.00	$4,947.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.69 / $502.69 / $502.69	Facility		$502.69	$502.69	$502.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,323.32	Facility		$506.00	$703.00	$1,323.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.74 / $470.26 / $1,713.00	Professional		$361.74	$470.26	$1,713.00
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