Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.58 / $5,595.00 / $14,497.00	Facility		$1,622.58	$5,595.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $3,801.18 / $23,000.53	Facility		$610.00	$3,801.18	$23,000.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,394.83 / $1,394.83 / $1,394.83	Facility		$1,394.83	$1,394.83	$1,394.83
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 $945.59 / $1,229.27 / $2,711.84	Professional		$945.59	$1,229.27	$2,711.84
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $24,871.00	Facility		$651.00	$4,666.00	$24,871.00