Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.23 / $3,164.00 / $6,915.00	Facility		$350.23	$3,164.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.76 / $394.76 / $394.76	Facility		$394.76	$394.76	$394.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,091.58	Facility		$448.00	$715.00	$1,091.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.98 / $248.27 / $1,101.95	Professional		$190.98	$248.27	$1,101.95
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