Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.94 / $3,360.00 / $6,915.00	Facility		$386.94	$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 $398.21 / $438.63 / $673.61	Facility		$398.21	$438.63	$673.61
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 $239.89 / $1,032.96 / $1,673.00	Professional		$239.89	$1,032.96	$1,673.00
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