Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.78 / $3,018.00 / $6,915.00	Facility		$158.78	$3,018.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,322.50 / $5,240.56	Facility		$775.91	$2,322.50	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.76 / $127.46 / $141.11	Facility		$93.76	$127.46	$141.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $173.65 / $338.14	Professional		$107.82	$173.65	$338.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00