Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.45 / $3,360.00 / $6,915.00	Facility		$409.45	$3,360.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $415.64 / $460.74 / $707.57	Facility		$415.64	$460.74	$707.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.39 / $877.33 / $2,605.96	Professional		$250.39	$877.33	$2,605.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00