Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.10 / $4,338.00 / $6,915.00	Facility		$573.10	$4,338.00	$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 $635.47 / $635.47 / $635.47	Facility		$635.47	$635.47	$635.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $715.00 / $1,765.90	Facility		$512.00	$715.00	$1,765.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $483.98 / $637.88 / $1,122.30	Professional		$483.98	$637.88	$1,122.30
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