Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.54 / $3,391.00 / $6,915.00	Facility		$1,182.54	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,193.35 / $1,193.35 / $1,193.35	Facility		$1,193.35	$1,193.35	$1,193.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $847.04 / $2,172.58	Facility		$640.00	$847.04	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.43 / $1,188.40 / $1,819.55	Professional		$807.43	$1,188.40	$1,819.55
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