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 $177.96 / $177.96 / $177.96	Facility		$177.96	$177.96	$177.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.97 / $117.97 / $2,500.00	Facility		$117.97	$117.97	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $129.31 / $255.44	Professional		$113.36	$129.31	$255.44
United Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,550.00 / $2,665.00	Facility		$384.00	$1,550.00	$2,665.00