Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.52 / $3,295.00 / $6,915.00	Facility		$163.52	$3,295.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.22 / $209.33 / $74,999.25	Facility		$173.22	$209.33	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,119.77 / $1,410.08	Facility		$551.00	$1,119.77	$1,410.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $182.89 / $795.17	Professional		$114.29	$182.89	$795.17
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00