Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $3,132.42 / $6,915.00	Facility		$619.79	$3,132.42	$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 $710.12 / $863.39 / $1,174.47	Facility		$710.12	$863.39	$1,174.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.59 / $467.59 / $1,272.50	Facility		$467.59	$467.59	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.36 / $655.81 / $1,185.36	Professional		$471.36	$655.81	$1,185.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00