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 $258.76 / $258.76 / $258.76	Facility		$258.76	$258.76	$258.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $169.76 / $2,500.00	Facility		$169.76	$169.76	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $185.17 / $365.82	Professional		$162.34	$185.17	$365.82
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