Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.78 / $5,045.00 / $6,915.00	Facility		$163.78	$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 $256.76 / $256.76 / $256.76	Facility		$256.76	$256.76	$256.76
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 $159.71 / $207.62 / $408.42	Professional		$159.71	$207.62	$408.42
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00