Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.21 / $5,045.00 / $6,915.00	Facility		$248.21	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $365.53 / $365.53 / $365.53	Facility		$365.53	$365.53	$365.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.23 / $334.40 / $894.55	Professional		$257.23	$334.40	$894.55
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00