Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.78 / $3,210.21 / $6,915.00	Facility		$211.78	$3,210.21	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.02 / $430.02 / $430.02	Facility		$430.02	$430.02	$430.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $1,091.58	Facility		$334.00	$535.00	$1,091.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $336.49 / $568.66	Professional		$114.75	$336.49	$568.66
United Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $1,723.00 / $5,272.00	Facility		$535.00	$1,723.00	$5,272.00