Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.44 / $2,422.00 / $6,915.00	Facility		$190.44	$2,422.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,111.58 / $4,819.75	Facility		$450.00	$2,111.58	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.26 / $408.26 / $408.26	Facility		$408.26	$408.26	$408.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $551.00 / $2,880.00	Facility		$338.00	$551.00	$2,880.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $292.14 / $448.85	Professional		$117.40	$292.14	$448.85
United Facility/Professional Facility Modifier Low / Median / High Price $535.00 / $2,150.00 / $5,272.00	Facility		$535.00	$2,150.00	$5,272.00