Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.08 / $2,888.00 / $6,915.00	Facility		$144.08	$2,888.00	$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 $119.92 / $119.92 / $119.92	Facility		$119.92	$119.92	$119.92
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 $82.82 / $281.00 / $505.05	Professional		$82.82	$281.00	$505.05
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