Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.67 / $3,391.00 / $6,915.00	Facility		$556.67	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.69 / $2,262.42 / $5,084.83	Facility		$606.69	$2,262.42	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $700.67 / $863.82 / $74,999.25	Facility		$700.67	$863.82	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $1,325.29 / $1,668.88	Facility		$411.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.10 / $656.14 / $3,320.66	Professional		$451.10	$656.14	$3,320.66
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $3,100.00 / $5,272.00	Facility		$510.00	$3,100.00	$5,272.00