Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.21 / $5,405.00 / $12,390.00	Facility		$2,108.21	$5,405.00	$12,390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,491.00 / $8,180.83	Facility		$675.00	$3,491.00	$8,180.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,158.71 / $3,158.71 / $3,158.71	Facility		$3,158.71	$3,158.71	$3,158.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $2,393.94	Facility		$200.00	$617.00	$2,393.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,067.39 / $2,687.61 / $6,690.57	Professional		$2,067.39	$2,687.61	$6,690.57
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