Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.19 / $4,194.00 / $6,915.00	Facility		$425.19	$4,194.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $2,276.86 / $4,819.75	Facility		$640.00	$2,276.86	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $334.00 / $334.00	Facility		$334.00	$334.00	$334.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $868.00 / $1,761.45	Facility		$506.00	$868.00	$1,761.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $299.81 / $549.98	Professional		$230.62	$299.81	$549.98
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