Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.45 / $5,045.00 / $6,915.00	Facility		$325.45	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $2,700.00 / $6,065.87	Facility		$610.00	$2,700.00	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.77 / $512.77 / $512.77	Facility		$512.77	$512.77	$512.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.37 / $417.78 / $610.60	Professional		$321.37	$417.78	$610.60
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00