Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.99 / $2,595.00 / $6,915.00	Facility		$463.99	$2,595.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,825.00 / $4,819.75	Facility		$450.00	$1,825.00	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.48 / $759.48 / $759.48	Facility		$759.48	$759.48	$759.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $894.69	Facility		$338.00	$535.00	$894.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.41 / $557.73 / $819.62	Professional		$261.41	$557.73	$819.62
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00