Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.42 / $4,467.00 / $6,915.00	Facility		$1,289.42	$4,467.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,412.76 / $8,702.00	Facility		$1,376.26	$4,412.76	$8,702.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,504.32 / $1,504.32 / $1,504.32	Facility		$1,504.32	$1,504.32	$1,504.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $1,115.11 / $5,128.02	Facility		$640.00	$1,115.11	$5,128.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.04 / $1,566.03 / $2,395.53	Professional		$1,063.04	$1,566.03	$2,395.53
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