Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.27 / $4,592.00 / $6,915.00	Facility		$384.27	$4,592.00	$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 $248.69 / $248.69 / $248.69	Facility		$248.69	$248.69	$248.69
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 $190.31 / $247.40 / $1,137.00	Professional		$190.31	$247.40	$1,137.00
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $2,491.00 / $5,272.00	Facility		$550.00	$2,491.00	$5,272.00