Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.23 / $4,733.00 / $6,915.00	Facility		$60.23	$4,733.00	$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 $96.65 / $156.44 / $222.86	Facility		$96.65	$156.44	$222.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $86.94 / $657.54	Facility		$86.94	$86.94	$657.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $123.75 / $355.47	Professional		$84.42	$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