Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,063.00 / $6,915.00	Facility		$1,925.00	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,184.81 / $2,570.36 / $3,546.26	Facility		$2,184.81	$2,570.36	$3,546.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.96 / $1,429.96 / $2,225.00	Facility		$1,429.96	$1,429.96	$2,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,361.38 / $2,001.39 / $8,810.00	Professional		$1,361.38	$2,001.39	$8,810.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00