Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.71 / $3,391.00 / $6,915.00	Facility		$215.71	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.20 / $183.20 / $183.20	Facility		$183.20	$183.20	$183.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $631.54 / $734.00	Facility		$453.00	$631.54	$734.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $151.88 / $305.76	Professional		$116.84	$151.88	$305.76
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