Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.68 / $4,126.00 / $6,915.00	Facility		$171.68	$4,126.00	$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 $278.74 / $278.74 / $278.74	Facility		$278.74	$278.74	$278.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $162.88 / $974.44	Facility		$162.88	$162.88	$974.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $249.43 / $517.55	Professional		$114.34	$249.43	$517.55
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