Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.35 / $2,891.00 / $6,915.00	Facility		$273.35	$2,891.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,863.45 / $2,724.84	Facility		$450.00	$1,863.45	$2,724.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.46 / $569.46 / $569.46	Facility		$569.46	$569.46	$569.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $257.89 / $257.89	Facility		$257.89	$257.89	$257.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $289.45 / $924.72	Professional		$222.65	$289.45	$924.72
United Facility/Professional Facility Modifier Low / Median / High Price $673.00 / $3,770.00 / $8,448.00	Facility		$673.00	$3,770.00	$8,448.00