Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $5,063.00 / $7,890.00	Facility		$1,100.00	$5,063.00	$7,890.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,055.42 / $1,278.27 / $1,738.82	Facility		$1,055.42	$1,278.27	$1,738.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.89 / $691.89 / $4,830.16	Facility		$691.89	$691.89	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.51 / $970.93 / $1,564.68	Professional		$667.51	$970.93	$1,564.68
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