Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.57 / $4,592.00 / $6,915.00	Facility		$353.57	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.41 / $226.41 / $226.41	Facility		$226.41	$226.41	$226.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $2,369.50	Facility		$506.00	$703.00	$2,369.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.56 / $237.33 / $1,503.00	Professional		$182.56	$237.33	$1,503.00
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