Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.92 / $3,963.00 / $6,915.00	Facility		$237.92	$3,963.00	$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 $191.26 / $191.26 / $191.26	Facility		$191.26	$191.26	$191.26
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 $132.50 / $568.24 / $1,240.46	Professional		$132.50	$568.24	$1,240.46
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