Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.13 / $3,295.00 / $6,915.00	Facility		$406.13	$3,295.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,044.07 / $1,044.07 / $1,044.07	Facility		$1,044.07	$1,044.07	$1,044.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $1,233.00	Facility		$200.00	$589.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.53 / $823.48 / $2,075.17	Professional		$214.53	$823.48	$2,075.17
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