Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.97 / $3,391.00 / $6,915.00	Facility		$243.97	$3,391.00	$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 $737.45 / $737.45 / $737.45	Facility		$737.45	$737.45	$737.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $625.00 / $835.00	Facility		$506.00	$625.00	$835.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $464.29 / $1,170.01	Professional		$148.59	$464.29	$1,170.01
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00