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 / $7,391.00	Facility		$1,791.00	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,069.38 / $2,069.38 / $2,069.38	Facility		$2,069.38	$2,069.38	$2,069.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,300.98 / $2,500.00	Facility		$500.00	$1,300.98	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,245.07 / $1,411.84 / $2,805.73	Professional		$1,245.07	$1,411.84	$2,805.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00