Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.33 / $5,045.00 / $6,915.00	Facility		$1,216.33	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,610.79 / $1,610.79 / $1,610.79	Facility		$1,610.79	$1,610.79	$1,610.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,280.31 / $1,664.40 / $2,433.15	Professional		$1,280.31	$1,664.40	$2,433.15
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00