Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.75 / $3,460.00 / $6,915.00	Facility		$1,048.75	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $2,555.00 / $7,513.42	Facility		$580.00	$2,555.00	$7,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,177.05 / $1,177.05 / $1,177.05	Facility		$1,177.05	$1,177.05	$1,177.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $731.00 / $3,685.16	Facility		$453.00	$731.00	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $777.42 / $1,010.65 / $1,820.04	Professional		$777.42	$1,010.65	$1,820.04
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