Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $3,460.00 / $6,915.00	Facility		$234.54	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.39 / $326.39 / $326.39	Facility		$326.39	$326.39	$326.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,761.45	Facility		$448.00	$715.00	$1,761.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $268.33 / $408.33	Professional		$160.78	$268.33	$408.33
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00