Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.46 / $3,391.00 / $6,915.00	Facility		$525.46	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $647.73 / $647.73 / $647.73	Facility		$647.73	$647.73	$647.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.11 / $588.11 / $1,272.50	Facility		$588.11	$588.11	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.45 / $749.04 / $1,489.88	Professional		$592.45	$749.04	$1,489.88
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