Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $4,590.00 / $6,915.00	Facility		$1,771.00	$4,590.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.35 / $3,654.66 / $6,339.18	Facility		$1,256.35	$3,654.66	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,168.42 / $2,551.10 / $3,529.38	Facility		$2,168.42	$2,551.10	$3,529.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,405.09 / $2,500.00	Facility		$500.00	$1,405.09	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,354.91 / $1,970.78 / $5,935.26	Professional		$1,354.91	$1,970.78	$5,935.26
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