Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.74 / $4,733.00 / $6,915.00	Facility		$431.74	$4,733.00	$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 $885.38 / $885.38 / $885.38	Facility		$885.38	$885.38	$885.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $700.00 / $1,084.63	Facility		$506.00	$700.00	$1,084.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $705.85 / $1,778.74	Professional		$227.98	$705.85	$1,778.74
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