Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.01 / $3,391.00 / $6,915.00	Facility		$672.01	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,262.42 / $5,084.83	Facility		$606.69	$2,262.42	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $793.52 / $968.66 / $74,999.25	Facility		$793.52	$968.66	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $1,325.29 / $1,668.88	Facility		$411.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.84 / $738.00 / $3,729.22	Professional		$505.84	$738.00	$3,729.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00