Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.51 / $3,430.00 / $9,417.81	Facility		$314.51	$3,430.00	$9,417.81
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 $1,664.33 / $1,664.33 / $1,664.33	Facility		$1,664.33	$1,664.33	$1,664.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $546.00 / $1,233.00	Facility		$338.00	$546.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.43 / $741.82 / $1,869.39	Professional		$161.43	$741.82	$1,869.39
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