Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.84 / $2,595.00 / $6,915.00	Facility		$112.84	$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 $100.41 / $100.41 / $100.41	Facility		$100.41	$100.41	$100.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $652.00	Facility		$334.00	$535.00	$652.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $190.22 / $424.99	Professional		$64.84	$190.22	$424.99
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