Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.08 / $4,829.00 / $6,915.00	Facility		$1,099.08	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,305.86 / $1,606.58 / $2,185.42	Facility		$1,305.86	$1,606.58	$2,185.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $879.48 / $879.48 / $4,830.16	Facility		$879.48	$879.48	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.97 / $1,208.00 / $1,890.59	Professional		$838.97	$1,208.00	$1,890.59
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