Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.36 / $2,221.00 / $6,726.00	Facility		$193.36	$2,221.00	$6,726.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,680.87 / $3,784.98	Facility		$450.00	$1,680.87	$3,784.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.80 / $256.80 / $256.80	Facility		$256.80	$256.80	$256.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $450.00 / $551.00	Facility		$334.00	$450.00	$551.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.61 / $292.27 / $493.94	Professional		$179.61	$292.27	$493.94
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00