Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.72 / $2,604.30 / $6,915.00	Facility		$191.72	$2,604.30	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $161.69 / $161.69	Facility		$161.69	$161.69	$161.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $589.00 / $1,233.00	Facility		$117.56	$589.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $133.33 / $291.45	Professional		$102.56	$133.33	$291.45
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00