Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.79 / $4,338.00 / $6,915.00	Facility		$261.79	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $690.60 / $690.60 / $690.60	Facility		$690.60	$690.60	$690.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.16 / $435.16 / $2,500.00	Facility		$435.16	$435.16	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.77 / $645.20 / $1,436.17	Professional		$304.77	$645.20	$1,436.17
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00