Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.26 / $5,063.00 / $9,512.00	Facility		$1,416.26	$5,063.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $4,412.76 / $8,545.91	Facility		$1,540.00	$4,412.76	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,561.56 / $1,561.56 / $1,561.56	Facility		$1,561.56	$1,561.56	$1,561.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,128.18 / $1,128.18 / $5,685.20	Facility		$1,128.18	$1,128.18	$5,685.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,082.95 / $1,663.81 / $3,898.98	Professional		$1,082.95	$1,663.81	$3,898.98
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