Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.64 / $3,360.00 / $6,915.00	Facility		$277.64	$3,360.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.90 / $400.90 / $400.90	Facility		$400.90	$400.90	$400.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.64 / $261.64 / $640.00	Facility		$261.64	$261.64	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.06 / $307.70 / $1,345.00	Professional		$179.06	$307.70	$1,345.00
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00