Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.48 / $4,368.00 / $6,915.00	Facility		$920.48	$4,368.00	$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 $874.48 / $874.48 / $874.48	Facility		$874.48	$874.48	$874.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $689.29 / $689.29 / $1,272.50	Facility		$689.29	$689.29	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.44 / $967.57 / $1,748.85	Professional		$695.44	$967.57	$1,748.85
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