Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.75 / $5,045.00 / $6,915.00	Facility		$1,515.75	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,625.09 / $13,137.87	Facility		$1,206.01	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,775.85 / $2,134.79 / $2,903.93	Facility		$1,775.85	$2,134.79	$2,903.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,152.78 / $11,566.82	Facility		$1,000.00	$1,152.78	$11,566.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,114.80 / $1,591.48 / $2,512.16	Professional		$1,114.80	$1,591.48	$2,512.16
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