Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.28 / $5,045.00 / $6,915.00	Facility		$1,283.28	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $55,752.34	Facility		$1,282.27	$5,155.99	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,197.08 / $2,621.87 / $3,566.52	Facility		$2,197.08	$2,621.87	$3,566.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,431.62 / $2,500.00	Facility		$500.00	$1,431.62	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,369.16 / $1,994.52 / $4,542.35	Professional		$1,369.16	$1,994.52	$4,542.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00