Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.29 / $5,063.00 / $15,750.00	Facility		$1,762.29	$5,063.00	$15,750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,799.60 / $21,112.96	Facility		$1,402.00	$5,799.60	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,951.67 / $2,350.67 / $3,197.61	Facility		$1,951.67	$2,350.67	$3,197.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,269.96 / $9,125.94	Facility		$1,200.00	$1,269.96	$9,125.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.53 / $1,749.20 / $3,148.12	Professional		$1,227.53	$1,749.20	$3,148.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00