Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.78 / $5,063.00 / $9,512.00	Facility		$1,350.78	$5,063.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,716.66 / $5,625.09 / $13,137.87	Facility		$1,716.66	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,666.44 / $2,001.08 / $2,722.05	Facility		$1,666.44	$2,001.08	$2,722.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,083.05 / $1,083.05 / $11,954.99	Facility		$1,083.05	$1,083.05	$11,954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.98 / $1,499.11 / $2,354.83	Professional		$1,044.98	$1,499.11	$2,354.83
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