Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.36 / $3,391.00 / $6,915.00	Facility		$429.36	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.02 / $618.02 / $618.02	Facility		$618.02	$618.02	$618.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $716.39 / $2,880.00	Facility		$512.00	$716.39	$2,880.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $401.97 / $1,400.00	Professional		$191.53	$401.97	$1,400.00
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,496.00 / $5,272.00	Facility		$550.00	$2,496.00	$5,272.00