Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,881.77 / $5,595.00 / $14,497.00	Facility		$1,881.77	$5,595.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $5,637.20 / $23,000.53	Facility		$1,088.00	$5,637.20	$23,000.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $4,800.00	Facility		$4,800.00	$4,800.00	$4,800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,375.00	Facility		$400.00	$703.00	$9,375.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,119.89 / $1,455.86 / $3,041.81	Professional		$1,119.89	$1,455.86	$3,041.81
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $24,871.00	Facility		$851.00	$6,868.00	$24,871.00