Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,368.00 / $6,915.00	Facility		$1,111.00	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,241.18 / $1,503.60 / $2,045.34	Facility		$1,241.18	$1,503.60	$2,045.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.53 / $813.53 / $4,830.16	Facility		$813.53	$813.53	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.19 / $1,192.49 / $2,417.17	Professional		$785.19	$1,192.49	$2,417.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00