Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.99 / $5,045.00 / $6,915.00	Facility		$1,509.99	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,215.41 / $2,642.49 / $3,687.20	Facility		$2,215.41	$2,642.49	$3,687.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,474.87 / $2,172.58	Facility		$1,000.00	$1,474.87	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,415.49 / $1,672.85 / $3,189.77	Professional		$1,415.49	$1,672.85	$3,189.77
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