Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.76 / $5,367.00 / $12,962.00	Facility		$1,151.76	$5,367.00	$12,962.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,976.74 / $14,509.03	Facility		$1,140.78	$3,976.74	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,161.11 / $1,398.30 / $1,902.09	Facility		$1,161.11	$1,398.30	$1,902.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.99 / $5,845.00 / $10,047.00	Facility		$756.99	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.20 / $1,089.80 / $4,596.32	Professional		$730.20	$1,089.80	$4,596.32
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