Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.97 / $3,360.00 / $6,915.00	Facility		$291.97	$3,360.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.69 / $158.69 / $158.69	Facility		$158.69	$158.69	$158.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $700.00 / $1,233.00	Facility		$506.00	$700.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $199.51 / $738.00	Professional		$153.47	$199.51	$738.00
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00