Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,841.00 / $7,631.00	Facility		$1,202.00	$4,841.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,296.83 / $1,564.62 / $2,128.34	Facility		$1,296.83	$1,564.62	$2,128.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.53 / $845.53 / $11,566.82	Facility		$845.53	$845.53	$11,566.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.06 / $1,155.01 / $1,841.22	Professional		$817.06	$1,155.01	$1,841.22
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