Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,295.00 / $6,915.00	Facility		$632.00	$3,295.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $2,236.86 / $4,819.75	Facility		$576.79	$2,236.86	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.04 / $346.04 / $346.04	Facility		$346.04	$346.04	$346.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $835.00 / $2,880.00	Facility		$512.00	$835.00	$2,880.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.10 / $248.43 / $1,628.00	Professional		$191.10	$248.43	$1,628.00
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