Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.22 / $4,829.00 / $6,915.00	Facility		$1,865.22	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $6,671.99 / $21,103.55	Facility		$1,406.20	$6,671.99	$21,103.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,130.94 / $2,541.78 / $3,457.56	Facility		$2,130.94	$2,541.78	$3,457.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,390.72 / $19,390.81	Facility		$1,200.00	$1,390.72	$19,390.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,327.34 / $1,965.77 / $2,991.11	Professional		$1,327.34	$1,965.77	$2,991.11
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