Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.63 / $3,295.00 / $6,915.00	Facility		$307.63	$3,295.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.00 / $1,729.39 / $3,784.98	Facility		$542.00	$1,729.39	$3,784.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $553.03 / $553.03 / $553.03	Facility		$553.03	$553.03	$553.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $610.44 / $770.87	Facility		$448.00	$610.44	$770.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $418.08 / $1,135.80	Professional		$153.72	$418.08	$1,135.80
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