Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.95 / $2,678.00 / $6,915.00	Facility		$234.95	$2,678.00	$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 $516.30 / $516.30 / $516.30	Facility		$516.30	$516.30	$516.30
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 $99.33 / $312.31 / $623.49	Professional		$99.33	$312.31	$623.49
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