Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.85 / $2,595.00 / $6,915.00	Facility		$179.85	$2,595.00	$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 $181.88 / $221.87 / $74,999.25	Facility		$181.88	$221.87	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $1,119.77 / $1,410.08	Facility		$411.00	$1,119.77	$1,410.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $316.89 / $840.02	Professional		$121.13	$316.89	$840.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00