Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.37 / $4,338.00 / $6,915.00	Facility		$734.37	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $732.10 / $732.10 / $732.10	Facility		$732.10	$732.10	$732.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $715.00 / $1,765.90	Facility		$453.00	$715.00	$1,765.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.92 / $724.81 / $1,334.26	Professional		$569.92	$724.81	$1,334.26
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