Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.03 / $3,826.00 / $6,915.00	Facility		$638.03	$3,826.00	$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 $611.16 / $611.16 / $611.16	Facility		$611.16	$611.16	$611.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.78 / $488.78 / $1,272.50	Facility		$488.78	$488.78	$1,272.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.57 / $686.70 / $1,241.21	Professional		$493.57	$686.70	$1,241.21
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