Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $4,592.00 / $6,915.00	Facility		$1,194.00	$4,592.00	$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 $737.85 / $737.85 / $737.85	Facility		$737.85	$737.85	$737.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $700.00 / $1,765.90	Facility		$506.00	$700.00	$1,765.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.03 / $526.84 / $1,009.77	Professional		$439.03	$526.84	$1,009.77
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