Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.73 / $3,391.00 / $6,915.00	Facility		$255.73	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.84 / $237.84 / $237.84	Facility		$237.84	$237.84	$237.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $535.00 / $799.55	Facility		$334.00	$535.00	$799.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $219.83 / $395.90	Professional		$169.10	$219.83	$395.90
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