Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.21 / $3,391.00 / $7,680.00	Facility		$337.21	$3,391.00	$7,680.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.06 / $413.94 / $563.07	Facility		$342.06	$413.94	$563.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.94 / $223.94 / $1,153.31	Facility		$223.94	$223.94	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.16 / $332.10 / $530.32	Professional		$216.16	$332.10	$530.32
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00