Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.04 / $4,338.00 / $6,915.00	Facility		$742.04	$4,338.00	$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 $839.30 / $1,017.63 / $1,384.28	Facility		$839.30	$1,017.63	$1,384.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $1,272.50	Facility		$553.94	$553.94	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.58 / $772.98 / $1,397.13	Professional		$555.58	$772.98	$1,397.13
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