Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.70 / $2,800.00 / $6,915.00	Facility		$411.70	$2,800.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,795.56 / $6,315.83	Facility		$776.14	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $604.47 / $664.77 / $1,020.90	Facility		$604.47	$664.77	$1,020.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.14 / $474.96 / $1,335.59	Professional		$364.14	$474.96	$1,335.59
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00