Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.25 / $4,368.00 / $6,915.00	Facility		$289.25	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.02 / $280.02 / $280.02	Facility		$280.02	$280.02	$280.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.29 / $211.29 / $1,153.31	Facility		$211.29	$211.29	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.93 / $285.95 / $459.55	Professional		$203.93	$285.95	$459.55
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