Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $4,368.00 / $6,915.00	Facility		$838.00	$4,368.00	$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 $838.89 / $1,028.82 / $74,999.25	Facility		$838.89	$1,028.82	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $1,325.29 / $1,668.88	Facility		$551.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.25 / $734.19 / $3,945.57	Professional		$537.25	$734.19	$3,945.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $4,500.00 / $6,953.00	Facility		$1,275.00	$4,500.00	$6,953.00