Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.09 / $4,733.00 / $6,915.00	Facility		$1,058.09	$4,733.00	$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 $1,139.32 / $1,139.32 / $1,139.32	Facility		$1,139.32	$1,139.32	$1,139.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.08 / $863.08 / $2,172.58	Facility		$863.08	$863.08	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.10 / $1,130.59 / $1,868.36	Professional		$829.10	$1,130.59	$1,868.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00