Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.18 / $3,360.00 / $6,915.00	Facility		$303.18	$3,360.00	$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 $512.07 / $602.42 / $860.64	Facility		$512.07	$602.42	$860.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $342.96 / $640.00	Facility		$177.38	$342.96	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.40 / $440.81 / $884.90	Professional		$330.40	$440.81	$884.90
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