Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.20 / $2,221.00 / $5,183.79	Facility		$256.20	$2,221.00	$5,183.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $190.19 / $283.49	Facility		$138.69	$190.19	$283.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $156.80 / $156.80	Facility		$156.80	$156.80	$156.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $180.31 / $346.86	Professional		$138.69	$180.31	$346.86
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $332.35 / $332.35 / $332.35	Professional	22	$332.35	$332.35	$332.35
United Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $1,550.00 / $2,506.00	Facility		$389.00	$1,550.00	$2,506.00