Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.75 / $4,592.00 / $6,915.00	Facility		$1,165.75	$4,592.00	$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 $1,037.55 / $1,252.04 / $1,874.57	Facility		$1,037.55	$1,252.04	$1,874.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,017.85 / $2,172.58	Facility		$1,000.00	$1,017.85	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.54 / $1,200.39 / $4,878.93	Professional		$683.54	$1,200.39	$4,878.93
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