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 $253.63 / $253.63 / $253.63	Facility		$253.63	$253.63	$253.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $134.09 / $2,500.00	Facility		$134.09	$134.09	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $192.17 / $675.00	Professional		$125.08	$192.17	$675.00
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