Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.00 / $4,467.00 / $6,915.00	Facility		$1,575.00	$4,467.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,625.09 / $13,137.87	Facility		$996.37	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,991.39 / $2,385.11 / $3,244.44	Facility		$1,991.39	$2,385.11	$3,244.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,300.33 / $11,866.02	Facility		$860.00	$1,300.33	$11,866.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,245.52 / $1,846.19 / $2,806.75	Professional		$1,245.52	$1,846.19	$2,806.75
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