Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.82 / $3,391.00 / $6,915.00	Facility		$280.82	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $285.32 / $343.86 / $467.76	Facility		$285.32	$343.86	$467.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.37 / $186.37 / $2,172.58	Facility		$186.37	$186.37	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $271.76 / $404.64	Professional		$179.56	$271.76	$404.64
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