Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.56 / $3,214.00 / $6,915.00	Facility		$303.56	$3,214.00	$6,915.00
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 $255.83 / $255.83 / $255.83	Facility		$255.83	$255.83	$255.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.30 / $412.36 / $546.00	Facility		$299.30	$412.36	$546.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $207.66 / $373.95	Professional		$159.74	$207.66	$373.95
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00