Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,063.00 / $7,068.00	Facility		$1,925.00	$5,063.00	$7,068.00
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 $2,526.98 / $2,972.93 / $4,099.32	Facility		$2,526.98	$2,972.93	$4,099.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,629.96 / $1,629.96 / $2,225.00	Facility		$1,629.96	$1,629.96	$2,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,573.69 / $2,289.01 / $9,003.00	Professional		$1,573.69	$2,289.01	$9,003.00
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