Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.88 / $4,338.00 / $6,915.00	Facility		$380.88	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.06 / $369.06 / $369.06	Facility		$369.06	$369.06	$369.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.72 / $273.72 / $2,500.00	Facility		$273.72	$273.72	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $406.19 / $595.79	Professional		$264.39	$406.19	$595.79
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