Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.14 / $5,045.00 / $6,915.00	Facility		$1,675.14	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.38 / $5,842.74 / $17,934.25	Facility		$1,478.38	$5,842.74	$17,934.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.02 / $1,862.02 / $1,862.02	Facility		$1,862.02	$1,862.02	$1,862.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,355.18 / $2,500.00	Facility		$500.00	$1,355.18	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,296.33 / $1,935.60 / $3,335.82	Professional		$1,296.33	$1,935.60	$3,335.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00