Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $3,391.00 / $6,915.00	Facility		$145.94	$3,391.00	$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 $254.74 / $254.74 / $254.74	Facility		$254.74	$254.74	$254.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.55 / $153.55 / $860.00	Facility		$153.55	$153.55	$860.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $165.24 / $720.00	Professional		$104.36	$165.24	$720.00
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