Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.20 / $4,338.00 / $6,915.00	Facility		$680.20	$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 $608.85 / $608.85 / $608.85	Facility		$608.85	$608.85	$608.85
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 $485.04 / $630.54 / $1,112.34	Professional		$485.04	$630.54	$1,112.34
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