Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $2,171.00 / $5,595.00	Facility		$120.68	$2,171.00	$5,595.00
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 $185.62 / $185.62 / $185.62	Facility		$185.62	$185.62	$185.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.35 / $125.35 / $2,575.00	Facility		$125.35	$125.35	$2,575.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $186.09 / $392.20	Professional		$121.12	$186.09	$392.20
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