Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.51 / $5,063.00 / $9,512.00	Facility		$1,244.51	$5,063.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $5,516.40 / $12,227.65	Facility		$1,680.00	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,699.20 / $2,036.96 / $2,770.86	Facility		$1,699.20	$2,036.96	$2,770.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.18 / $1,120.18 / $6,179.57	Facility		$1,120.18	$1,120.18	$6,179.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.72 / $1,572.00 / $3,632.00	Professional		$1,063.72	$1,572.00	$3,632.00
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