Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.02 / $2,987.00 / $6,915.00	Facility		$154.02	$2,987.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $445.18 / $445.18 / $445.18	Facility		$445.18	$445.18	$445.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $150.13 / $640.00	Facility		$150.13	$150.13	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $294.45 / $618.25	Professional		$105.42	$294.45	$618.25
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00