Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.33 / $6,760.00 / $14,497.00	Facility		$1,863.33	$6,760.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $4,795.72 / $13,137.87	Facility		$1,088.00	$4,795.72	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,386.18 / $1,386.18 / $1,386.18	Facility		$1,386.18	$1,386.18	$1,386.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $988.00 / $9,852.00	Facility		$400.00	$988.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,052.57 / $1,368.34 / $2,393.42	Professional		$1,052.57	$1,368.34	$2,393.42
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $16,000.00	Facility		$851.00	$6,868.00	$16,000.00