Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.16 / $4,467.00 / $6,915.00	Facility		$194.16	$4,467.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.28 / $162.28 / $162.28	Facility		$162.28	$162.28	$162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $575.79 / $788.49	Facility		$338.00	$575.79	$788.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $137.88 / $631.00	Professional		$106.07	$137.88	$631.00
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