Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $3,826.00 / $6,915.00	Facility		$282.00	$3,826.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $517.46 / $517.46 / $517.46	Facility		$517.46	$517.46	$517.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.27 / $273.27 / $860.00	Facility		$273.27	$273.27	$860.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.96 / $391.00 / $942.30	Professional		$195.96	$391.00	$942.30
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