Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.16 / $5,063.00 / $7,647.00	Facility		$1,987.16	$5,063.00	$7,647.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,513.39 / $3,976.83 / $5,490.84	Facility		$2,513.39	$3,976.83	$5,490.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,189.78 / $2,500.00	Facility		$500.00	$2,189.78	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,107.90 / $2,704.43 / $4,750.10	Professional		$2,107.90	$2,704.43	$4,750.10
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