Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.75 / $5,595.00 / $8,401.00	Facility		$1,502.75	$5,595.00	$8,401.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,401.20 / $1,401.20 / $1,401.20	Facility		$1,401.20	$1,401.20	$1,401.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,108.33	Facility		$200.00	$617.00	$1,108.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.86 / $1,258.22 / $2,261.51	Professional		$967.86	$1,258.22	$2,261.51
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