Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.09 / $5,175.00 / $17,192.00	Facility		$1,375.09	$5,175.00	$17,192.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $7,258.37 / $23,169.33	Facility		$1,282.27	$7,258.37	$23,169.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,758.62 / $2,112.50 / $2,873.63	Facility		$1,758.62	$2,112.50	$2,873.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,144.79 / $3,750.00	Facility		$500.00	$1,144.79	$3,750.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,103.17 / $1,595.36 / $2,917.76	Professional		$1,103.17	$1,595.36	$2,917.76
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