Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.99 / $4,592.00 / $6,915.00	Facility		$1,453.99	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,579.89 / $1,893.11 / $2,575.17	Facility		$1,579.89	$1,893.11	$2,575.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.51 / $1,030.51 / $4,830.16	Facility		$1,030.51	$1,030.51	$4,830.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.59 / $1,378.18 / $2,227.77	Professional		$988.59	$1,378.18	$2,227.77
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