Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.53 / $4,592.00 / $6,915.00	Facility		$1,412.53	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $3,837.00 / $8,545.91	Facility		$1,240.00	$3,837.00	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,263.01 / $2,263.01 / $2,263.01	Facility		$2,263.01	$2,263.01	$2,263.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,703.12 / $5,322.98	Facility		$1,200.00	$1,703.12	$5,322.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,217.77 / $1,987.81 / $4,255.85	Professional		$1,217.77	$1,987.81	$4,255.85
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