Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.23 / $5,045.00 / $6,915.00	Facility		$2,528.23	$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 $2,572.67 / $2,572.67 / $2,572.67	Facility		$2,572.67	$2,572.67	$2,572.67
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 $2,515.85 / $3,019.02 / $5,031.70	Professional		$2,515.85	$3,019.02	$5,031.70
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