Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.61 / $5,063.00 / $9,488.00	Facility		$1,619.61	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,012.00 / $3,392.46 / $7,513.42	Facility		$1,012.00	$3,392.46	$7,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,978.31 / $1,978.31 / $1,978.31	Facility		$1,978.31	$1,978.31	$1,978.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,396.00 / $3,685.16	Facility		$512.00	$1,396.00	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,381.10 / $1,795.43 / $3,233.30	Professional		$1,381.10	$1,795.43	$3,233.30
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