Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.55 / $5,063.00 / $7,421.00	Facility		$501.55	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $590.54 / $640.49 / $983.60	Facility		$590.54	$640.49	$983.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,114.90 / $2,114.90 / $2,114.90	Facility		$2,114.90	$2,114.90	$2,114.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.35 / $402.16 / $642.28	Professional		$309.35	$402.16	$642.28
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