Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.31 / $4,829.00 / $6,915.00	Facility		$224.31	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $1,538.99 / $3,667.01	Facility		$696.00	$1,538.99	$3,667.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.25 / $378.57 / $74,999.25	Facility		$317.25	$378.57	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $778.00 / $778.00	Facility		$778.00	$778.00	$778.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $270.64 / $1,131.49	Professional		$197.68	$270.64	$1,131.49
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $1,550.00 / $2,665.00	Facility		$107.00	$1,550.00	$2,665.00