Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,503.09 / $5,063.00 / $7,631.00	Facility		$2,503.09	$5,063.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,578.26 / $3,578.26 / $3,578.26	Facility		$3,578.26	$3,578.26	$3,578.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,794.10	Facility		$500.00	$2,500.00	$2,794.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,704.65 / $4,155.32 / $15,386.94	Professional		$2,704.65	$4,155.32	$15,386.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00