Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.43 / $5,063.00 / $7,647.00	Facility		$1,228.43	$5,063.00	$7,647.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,435.54 / $12,227.65	Facility		$1,603.22	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,552.02 / $1,878.44 / $2,555.21	Facility		$1,552.02	$1,878.44	$2,555.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.63 / $1,016.63 / $6,361.68	Facility		$1,016.63	$1,016.63	$6,361.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $980.93 / $1,507.06 / $2,210.50	Professional		$980.93	$1,507.06	$2,210.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00