Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.19 / $3,391.00 / $6,915.00	Facility		$381.19	$3,391.00	$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 $1,483.11 / $1,483.11 / $1,483.11	Facility		$1,483.11	$1,483.11	$1,483.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.34 / $352.34 / $2,225.00	Facility		$352.34	$352.34	$2,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.36 / $785.70 / $2,695.00	Professional		$232.36	$785.70	$2,695.00
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,580.00 / $2,665.00	Facility		$212.00	$1,580.00	$2,665.00