Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.08 / $4,368.00 / $6,915.00	Facility		$856.08	$4,368.00	$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 $771.88 / $771.88 / $771.88	Facility		$771.88	$771.88	$771.88
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 $596.03 / $774.84 / $1,303.48	Professional		$596.03	$774.84	$1,303.48
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00