Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.25 / $5,506.00 / $12,390.00	Facility		$1,421.25	$5,506.00	$12,390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,538.97 / $14,509.03	Facility		$1,282.27	$5,538.97	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,800.72 / $2,166.60 / $2,947.22	Facility		$1,800.72	$2,166.60	$2,947.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,171.73 / $5,845.00 / $10,047.00	Facility		$1,171.73	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,131.42 / $1,645.70 / $2,906.84	Professional		$1,131.42	$1,645.70	$2,906.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $10,496.00 / $18,613.00	Facility		$1,998.00	$10,496.00	$18,613.00