Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.16 / $5,809.00 / $10,572.00	Facility		$1,154.16	$5,809.00	$10,572.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,763.81 / $13,523.26	Facility		$1,082.02	$3,763.81	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,024.25 / $1,235.16 / $1,680.18	Facility		$1,024.25	$1,235.16	$1,680.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $671.06 / $5,845.00 / $10,047.00	Facility		$671.06	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.01 / $990.97 / $1,922.51	Professional		$645.01	$990.97	$1,922.51
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