Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.74 / $5,405.00 / $11,536.00	Facility		$1,125.74	$5,405.00	$11,536.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,625.04 / $14,509.03	Facility		$1,282.27	$5,625.04	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.77 / $1,342.59 / $1,826.31	Facility		$1,119.77	$1,342.59	$1,826.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.23 / $5,845.00 / $10,047.00	Facility		$732.23	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.11 / $1,020.69 / $1,579.93	Professional		$701.11	$1,020.69	$1,579.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00