Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $4,338.00 / $6,915.00	Facility		$69.98	$4,338.00	$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 $92.34 / $149.51 / $212.91	Facility		$92.34	$149.51	$212.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $83.08 / $836.97	Facility		$83.08	$83.08	$836.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $112.21 / $355.47	Professional		$80.65	$112.21	$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