Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.05 / $2,595.00 / $6,915.00	Facility		$123.05	$2,595.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,635.81 / $3,784.98	Facility		$450.00	$1,635.81	$3,784.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.27 / $189.27 / $189.27	Facility		$189.27	$189.27	$189.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.93 / $384.00 / $546.00	Facility		$147.93	$384.00	$546.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $143.99 / $266.11	Professional		$116.10	$143.99	$266.11
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,506.00	Facility		$77.00	$866.00	$2,506.00