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 $212.86 / $212.86 / $212.86	Facility		$212.86	$212.86	$212.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $140.44 / $2,500.00	Facility		$140.44	$140.44	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.24 / $153.18 / $302.52	Professional		$134.24	$153.18	$302.52
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