Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.53 / $4,592.00 / $6,915.00	Facility		$1,031.53	$4,592.00	$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 $1,503.92 / $1,503.92 / $1,503.92	Facility		$1,503.92	$1,503.92	$1,503.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,121.08 / $2,172.58	Facility		$1,000.00	$1,121.08	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.33 / $1,380.55 / $2,425.50	Professional		$1,076.33	$1,380.55	$2,425.50
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