Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.35 / $4,829.00 / $6,915.00	Facility		$1,515.35	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,824.99 / $2,181.90 / $2,968.04	Facility		$1,824.99	$2,181.90	$2,968.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,181.70 / $1,181.70 / $1,653.56	Facility		$1,181.70	$1,181.70	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.40 / $1,637.99 / $3,443.72	Professional		$1,139.40	$1,637.99	$3,443.72
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