Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.51 / $3,391.00 / $6,915.00	Facility		$286.51	$3,391.00	$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 $333.54 / $333.54 / $333.54	Facility		$333.54	$333.54	$333.54
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 $135.90 / $176.67 / $708.98	Professional		$135.90	$176.67	$708.98
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