Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.04 / $4,285.00 / $6,915.00	Facility		$545.04	$4,285.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,174.58 / $4,819.75	Facility		$578.00	$2,174.58	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.25 / $613.25 / $613.25	Facility		$613.25	$613.25	$613.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $1,765.90	Facility		$512.00	$703.00	$1,765.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.45 / $581.83 / $939.39	Professional		$461.45	$581.83	$939.39
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00