Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.08 / $4,708.00 / $7,421.00	Facility		$1,325.08	$4,708.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,803.35 / $17,272.82	Facility		$790.00	$4,803.35	$17,272.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,867.61 / $1,867.61 / $1,867.61	Facility		$1,867.61	$1,867.61	$1,867.61
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 $1,275.17 / $1,657.72 / $2,985.32	Professional		$1,275.17	$1,657.72	$2,985.32
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