Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $2,592.00 / $6,915.00	Facility		$223.58	$2,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $661.54 / $661.54 / $661.54	Facility		$661.54	$661.54	$661.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.17 / $391.17 / $3,408.67	Facility		$391.17	$391.17	$3,408.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.81 / $399.63 / $950.69	Professional		$271.81	$399.63	$950.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00