Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.95 / $4,829.00 / $6,915.00	Facility		$1,083.95	$4,829.00	$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 $1,113.23 / $1,113.23 / $1,113.23	Facility		$1,113.23	$1,113.23	$1,113.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $819.09 / $819.09 / $2,817.98	Facility		$819.09	$819.09	$2,817.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.40 / $1,114.00 / $1,767.61	Professional		$784.40	$1,114.00	$1,767.61
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