Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.61 / $2,572.00 / $6,915.00	Facility		$316.61	$2,572.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.90 / $502.23 / $704.19	Facility		$426.90	$502.23	$704.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $535.00 / $969.29	Facility		$384.00	$535.00	$969.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.62 / $367.27 / $575.35	Professional		$282.62	$367.27	$575.35
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