Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.11 / $4,353.00 / $6,915.00	Facility		$886.11	$4,353.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $2,276.86 / $4,819.75	Facility		$640.00	$2,276.86	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $711.99 / $711.99 / $711.99	Facility		$711.99	$711.99	$711.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $868.00 / $1,765.90	Facility		$512.00	$868.00	$1,765.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.34 / $688.14 / $1,369.37	Professional		$529.34	$688.14	$1,369.37
United Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $3,333.00 / $6,953.00	Facility		$615.00	$3,333.00	$6,953.00