Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.79 / $3,391.00 / $6,915.00	Facility		$652.79	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.55 / $310.07 / $366.68	Facility		$263.55	$310.07	$366.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.85 / $258.85 / $258.85	Facility		$258.85	$258.85	$258.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $696.81 / $2,153.00	Professional		$177.56	$696.81	$2,153.00
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00