Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.05 / $3,562.00 / $6,915.00	Facility		$289.05	$3,562.00	$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 $309.38 / $309.38 / $309.38	Facility		$309.38	$309.38	$309.38
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 $180.73 / $321.30 / $472.17	Professional		$180.73	$321.30	$472.17
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