Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $3,391.00 / $6,915.00	Facility		$963.00	$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 $1,714.87 / $1,714.87 / $1,714.87	Facility		$1,714.87	$1,714.87	$1,714.87
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 $171.56 / $773.85 / $1,854.00	Professional		$171.56	$773.85	$1,854.00
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00