Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,421.00	Facility		$1,791.00	$5,063.00	$7,421.00
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 $1,855.38 / $2,182.80 / $3,031.38	Facility		$1,855.38	$2,182.80	$3,031.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.74 / $1,203.74 / $2,225.00	Facility		$1,203.74	$1,203.74	$2,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.73 / $1,695.87 / $6,250.00	Professional		$1,163.73	$1,695.87	$6,250.00
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