Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.65 / $4,467.00 / $6,915.00	Facility		$144.65	$4,467.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,634.62 / $5,292.58	Facility		$996.37	$2,634.62	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $130.66 / $130.66	Facility		$130.66	$130.66	$130.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.92 / $124.92 / $124.92	Facility		$124.92	$124.92	$124.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $139.74 / $604.63	Professional		$107.49	$139.74	$604.63
United Facility/Professional Facility Modifier Low / Median / High Price $567.00 / $3,218.00 / $5,272.00	Facility		$567.00	$3,218.00	$5,272.00