Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.13 / $4,829.00 / $6,915.00	Facility		$1,059.13	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,163.22 / $1,405.64 / $1,912.08	Facility		$1,163.22	$1,405.64	$1,912.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.97 / $759.97 / $4,830.16	Facility		$759.97	$759.97	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.03 / $1,039.61 / $1,654.13	Professional		$734.03	$1,039.61	$1,654.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00