Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.47 / $3,391.00 / $6,915.00	Facility		$267.47	$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 $379.53 / $379.53 / $379.53	Facility		$379.53	$379.53	$379.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.13 / $860.00	Facility		$186.13	$186.13	$860.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $282.22 / $1,993.00	Professional		$126.95	$282.22	$1,993.00
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