Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.58 / $3,391.00 / $6,915.00	Facility		$619.58	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,922.10 / $4,819.75	Facility		$450.00	$1,922.10	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.54 / $572.54 / $572.54	Facility		$572.54	$572.54	$572.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $799.55	Facility		$338.00	$535.00	$799.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.97 / $538.83 / $994.90	Professional		$424.97	$538.83	$994.90
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