Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.37 / $5,063.00 / $7,421.00	Facility		$1,500.37	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,839.99 / $2,164.69 / $3,001.70	Facility		$1,839.99	$2,164.69	$3,001.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,200.02 / $2,500.00	Facility		$500.00	$1,200.02	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.33 / $1,665.60 / $3,092.27	Professional		$1,152.33	$1,665.60	$3,092.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00