Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.66 / $4,338.00 / $6,915.00	Facility		$526.66	$4,338.00	$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 $1,471.32 / $1,471.32 / $1,471.32	Facility		$1,471.32	$1,471.32	$1,471.32
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 $289.08 / $1,131.14 / $2,630.00	Professional		$289.08	$1,131.14	$2,630.00
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