Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,460.00 / $6,915.00	Facility		$632.00	$3,460.00	$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 $111.31 / $111.31 / $111.31	Facility		$111.31	$111.31	$111.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.78 / $72.78 / $2,500.00	Facility		$72.78	$72.78	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $78.61 / $155.16	Professional		$68.86	$78.61	$155.16
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