Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $3,391.00 / $6,915.00	Facility		$149.22	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $149.22 / $149.22	Facility		$149.22	$149.22	$149.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $96.07 / $2,500.00	Facility		$96.07	$96.07	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $103.43 / $203.95	Professional		$90.51	$103.43	$203.95
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00