Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,911.00 / $6,915.00	Facility		$838.00	$3,911.00	$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 $186.23 / $253.90 / $298.83	Facility		$186.23	$253.90	$298.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,109.42	Facility		$506.00	$703.00	$1,109.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $823.80 / $1,928.62	Professional		$214.16	$823.80	$1,928.62
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