Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.93 / $4,733.00 / $6,915.00	Facility		$1,704.93	$4,733.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,795.66 / $1,795.66 / $1,795.66	Facility		$1,795.66	$1,795.66	$1,795.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,160.86 / $1,653.56	Facility		$1,000.00	$1,160.86	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.35 / $1,623.64 / $2,506.69	Professional		$1,112.35	$1,623.64	$2,506.69
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00