Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.87 / $4,338.00 / $6,915.00	Facility		$286.87	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,174.58 / $4,819.75	Facility		$578.00	$2,174.58	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.12 / $337.12 / $337.12	Facility		$337.12	$337.12	$337.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,765.90	Facility		$506.00	$703.00	$1,765.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $150.15 / $309.00	Professional		$115.50	$150.15	$309.00
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00