Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.20 / $4,200.00 / $6,915.00	Facility		$467.20	$4,200.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.22 / $628.22 / $628.22	Facility		$628.22	$628.22	$628.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.42 / $318.42 / $1,272.50	Facility		$318.42	$318.42	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.14 / $448.21 / $1,099.79	Professional		$322.14	$448.21	$1,099.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00