Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.79 / $3,360.00 / $6,915.00	Facility		$301.79	$3,360.00	$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 $281.00 / $281.00 / $281.00	Facility		$281.00	$281.00	$281.00
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 $191.70 / $249.21 / $448.80	Professional		$191.70	$249.21	$448.80
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