Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.42 / $2,800.00 / $6,915.00	Facility		$564.42	$2,800.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $1,949.16 / $3,851.83	Facility		$635.46	$1,949.16	$3,851.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility		$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.15 / $548.15 / $657.54	Facility		$548.15	$548.15	$657.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.82 / $736.86 / $1,775.82	Professional		$392.82	$736.86	$1,775.82
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00