Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.66 / $3,295.00 / $6,915.00	Facility		$592.66	$3,295.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $688.86 / $840.18 / $74,999.25	Facility		$688.86	$840.18	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.69 / $716.62 / $3,205.89	Professional		$458.69	$716.62	$3,205.89
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