Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.97 / $5,063.00 / $7,421.00	Facility		$1,523.97	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,701.47 / $13,454.48	Facility		$1,298.47	$4,701.47	$13,454.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,716.51 / $2,019.42 / $2,370.41	Facility		$1,716.51	$2,019.42	$2,370.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,052.17 / $1,339.13 / $1,619.23	Professional		$1,052.17	$1,339.13	$1,619.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $4,201.00 / $16,000.00	Facility		$1,036.00	$4,201.00	$16,000.00