Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $3,391.00 / $6,915.00	Facility		$233.30	$3,391.00	$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 $211.58 / $211.58 / $211.58	Facility		$211.58	$211.58	$211.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $546.00 / $2,880.00	Facility		$338.00	$546.00	$2,880.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $143.87 / $520.26	Professional		$110.67	$143.87	$520.26
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