Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.40 / $4,829.00 / $6,915.00	Facility		$1,047.40	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,074.05 / $1,290.08 / $1,754.88	Facility		$1,074.05	$1,290.08	$1,754.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.49 / $702.49 / $11,712.48	Facility		$702.49	$702.49	$11,712.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.68 / $979.90 / $1,518.15	Professional		$673.68	$979.90	$1,518.15
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