Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.64 / $5,045.00 / $6,915.00	Facility		$1,258.64	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.27 / $6,959.71 / $17,687.80	Facility		$1,732.27	$6,959.71	$17,687.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,237.01 / $2,458.42 / $3,775.44	Facility		$2,237.01	$2,458.42	$3,775.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.84 / $1,523.41 / $2,276.08	Professional		$1,171.84	$1,523.41	$2,276.08
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00