Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,045.00 / $6,915.00	Facility		$1,352.00	$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 $1,627.95 / $1,915.25 / $2,665.05	Facility		$1,627.95	$1,915.25	$2,665.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,058.30 / $11,628.23	Facility		$1,000.00	$1,058.30	$11,628.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.10 / $1,570.90 / $2,412.48	Professional		$1,023.10	$1,570.90	$2,412.48
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