Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.27 / $4,592.00 / $6,915.00	Facility		$154.27	$4,592.00	$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 $131.69 / $131.69 / $131.69	Facility		$131.69	$131.69	$131.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $119.30 / $119.30	Facility		$119.30	$119.30	$119.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $132.61 / $604.63	Professional		$102.01	$132.61	$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