Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.26 / $6,726.00 / $14,497.00	Facility		$392.26	$6,726.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,136.49 / $17,035.45	Facility		$875.00	$5,136.49	$17,035.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.72 / $375.72 / $375.72	Facility		$375.72	$375.72	$375.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $625.00 / $1,233.00	Facility		$506.00	$625.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.38 / $305.99 / $1,628.28	Professional		$235.38	$305.99	$1,628.28
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00