Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.88 / $5,045.00 / $6,915.00	Facility		$1,023.88	$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 $1,136.03 / $1,136.03 / $1,136.03	Facility		$1,136.03	$1,136.03	$1,136.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.59 / $852.59 / $1,653.56	Facility		$852.59	$852.59	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.43 / $1,265.08 / $2,213.87	Professional		$823.43	$1,265.08	$2,213.87
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00