Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.40 / $4,592.00 / $6,915.00	Facility		$903.40	$4,592.00	$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 $1,244.33 / $1,493.91 / $2,032.16	Facility		$1,244.33	$1,493.91	$2,032.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,220.88 / $6,927.63	Facility		$1,000.00	$1,220.88	$6,927.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.05 / $1,167.88 / $2,203.28	Professional		$851.05	$1,167.88	$2,203.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00