Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $3,391.00 / $6,915.00	Facility		$132.69	$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 $98.78 / $159.93 / $227.76	Facility		$98.78	$159.93	$227.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $88.93 / $833.41	Facility		$88.93	$88.93	$833.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $123.75 / $355.47	Professional		$86.28	$123.75	$355.47
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