Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,258.06 / $6,726.00 / $14,497.00	Facility		$2,258.06	$6,726.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,136.49 / $17,035.45	Facility		$875.00	$5,136.49	$17,035.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,022.56 / $3,022.56 / $3,022.56	Facility		$3,022.56	$3,022.56	$3,022.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $2,284.78	Facility		$200.00	$617.00	$2,284.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,980.35 / $2,574.46 / $4,636.22	Professional		$1,980.35	$2,574.46	$4,636.22
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