Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,063.00 / $6,915.00	Facility		$1,925.00	$5,063.00	$6,915.00
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 $2,328.51 / $2,578.01 / $3,778.61	Facility		$2,328.51	$2,578.01	$3,778.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,505.40 / $1,505.40 / $2,225.00	Facility		$1,505.40	$1,505.40	$2,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,450.58 / $2,228.62 / $8,409.00	Professional		$1,450.58	$2,228.62	$8,409.00
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