Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.28 / $3,214.00 / $6,915.00	Facility		$170.28	$3,214.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $1,990.17 / $3,851.83	Facility		$734.14	$1,990.17	$3,851.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.12 / $191.64 / $294.32	Facility		$173.12	$191.64	$294.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.98 / $476.98 / $476.98	Facility		$476.98	$476.98	$476.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $117.90 / $355.22	Professional		$90.69	$117.90	$355.22
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00