Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.15 / $5,063.00 / $7,631.00	Facility		$1,386.15	$5,063.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $3,142.00 / $8,028.57	Facility		$722.00	$3,142.00	$8,028.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,997.32 / $1,997.32 / $1,997.32	Facility		$1,997.32	$1,997.32	$1,997.32
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 $1,342.26 / $1,744.94 / $3,749.93	Professional		$1,342.26	$1,744.94	$3,749.93
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00