Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.74 / $3,391.00 / $6,915.00	Facility		$424.74	$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 $446.51 / $446.51 / $446.51	Facility		$446.51	$446.51	$446.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.89 / $306.89 / $1,272.50	Facility		$306.89	$306.89	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $429.65 / $775.54	Professional		$308.39	$429.65	$775.54
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