Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.28 / $5,045.00 / $6,915.00	Facility		$1,407.28	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,363.80 / $9,836.54	Facility		$1,282.27	$4,363.80	$9,836.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,642.02 / $1,972.47 / $2,683.16	Facility		$1,642.02	$1,972.47	$2,683.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,065.64 / $2,500.00	Facility		$500.00	$1,065.64	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,030.04 / $1,483.67 / $2,321.17	Professional		$1,030.04	$1,483.67	$2,321.17
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