Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.69 / $5,045.00 / $6,915.00	Facility		$2,221.69	$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 $3,285.39 / $3,285.39 / $3,285.39	Facility		$3,285.39	$3,285.39	$3,285.39
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 $2,145.09 / $2,788.62 / $5,021.89	Professional		$2,145.09	$2,788.62	$5,021.89
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