Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $4,467.00 / $6,915.00	Facility		$1,194.00	$4,467.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,072.72 / $4,972.46 / $10,832.53	Facility		$1,072.72	$4,972.46	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,519.97 / $1,648.73 / $2,531.98	Facility		$1,519.97	$1,648.73	$2,531.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.37 / $3,388.37 / $3,388.37	Facility		$3,388.37	$3,388.37	$3,388.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.22 / $1,035.08 / $1,663.94	Professional		$796.22	$1,035.08	$1,663.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00