Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,167.51 / $5,045.00 / $6,915.00	Facility		$2,167.51	$5,045.00	$6,915.00
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 $3,144.90 / $3,144.90 / $3,144.90	Facility		$3,144.90	$3,144.90	$3,144.90
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 $2,103.90 / $2,735.07 / $4,925.47	Professional		$2,103.90	$2,735.07	$4,925.47
United Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $3,420.00 / $6,575.00	Facility		$624.00	$3,420.00	$6,575.00