Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.10 / $5,045.00 / $6,915.00	Facility		$1,017.10	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $3,359.96 / $8,028.57	Facility		$722.00	$3,359.96	$8,028.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,375.85 / $1,375.85 / $1,375.85	Facility		$1,375.85	$1,375.85	$1,375.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,131.51	Facility		$200.00	$617.00	$1,131.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.97 / $1,281.76 / $2,861.01	Professional		$985.97	$1,281.76	$2,861.01
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00