Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.44 / $5,045.00 / $6,915.00	Facility		$1,192.44	$5,045.00	$6,915.00
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 $1,263.98 / $1,522.29 / $2,070.77	Facility		$1,263.98	$1,522.29	$2,070.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.87 / $826.87 / $4,830.16	Facility		$826.87	$826.87	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.96 / $1,145.82 / $1,791.41	Professional		$794.96	$1,145.82	$1,791.41
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