Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.42 / $3,391.00 / $6,915.00	Facility		$323.42	$3,391.00	$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 $226.00 / $226.00 / $226.00	Facility		$226.00	$226.00	$226.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,233.00	Facility		$506.00	$703.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.17 / $217.32 / $805.00	Professional		$167.17	$217.32	$805.00
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