Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.63 / $3,391.00 / $6,915.00	Facility		$1,323.63	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $3,107.04 / $6,147.04	Facility		$1,063.95	$3,107.04	$6,147.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,672.01 / $2,008.46 / $2,732.10	Facility		$1,672.01	$2,008.46	$2,732.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,084.33 / $2,500.00	Facility		$500.00	$1,084.33	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,048.83 / $1,507.75 / $2,363.53	Professional		$1,048.83	$1,507.75	$2,363.53
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