Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.58 / $4,817.00 / $6,915.00	Facility		$1,154.58	$4,817.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,293.02 / $1,293.02 / $1,293.02	Facility		$1,293.02	$1,293.02	$1,293.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.94 / $886.94 / $2,172.58	Facility		$886.94	$886.94	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $848.62 / $1,265.33 / $1,912.34	Professional		$848.62	$1,265.33	$1,912.34
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