Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.55 / $5,063.00 / $9,512.00	Facility		$1,641.55	$5,063.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $6,671.99 / $21,103.55	Facility		$1,760.00	$6,671.99	$21,103.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,046.84 / $2,457.29 / $3,342.63	Facility		$2,046.84	$2,457.29	$3,342.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.49 / $1,329.49 / $20,123.90	Facility		$1,329.49	$1,329.49	$20,123.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,283.22 / $1,971.49 / $3,463.70	Professional		$1,283.22	$1,971.49	$3,463.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00