Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $3,043.00 / $6,915.00	Facility		$264.39	$3,043.00	$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 $211.32 / $211.32 / $211.32	Facility		$211.32	$211.32	$211.32
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 $147.11 / $368.50 / $622.77	Professional		$147.11	$368.50	$622.77
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