Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $6,915.00	Facility		$1,791.00	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.46 / $7,591.82 / $21,232.89	Facility		$2,329.46	$7,591.82	$21,232.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,686.46 / $1,686.46 / $1,686.46	Facility		$1,686.46	$1,686.46	$1,686.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,319.93 / $1,319.93 / $20,437.11	Facility		$1,319.93	$1,319.93	$20,437.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,265.83 / $1,902.49 / $6,149.00	Professional		$1,265.83	$1,902.49	$6,149.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00