Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.33 / $25,857.00 / $66,450.00	Facility		$255.33	$25,857.00	$66,450.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.46 / $7,200.00 / $49,121.57	Facility		$990.46	$7,200.00	$49,121.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.58 / $9,936.00 / $23,903.00	Facility		$287.58	$9,936.00	$23,903.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.29 / $426.61 / $1,748.00	Professional		$290.29	$426.61	$1,748.00
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00