Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.08 / $5,045.00 / $6,915.00	Facility		$1,047.08	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,595.87 / $8,313.99	Facility		$659.95	$3,595.87	$8,313.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,544.35 / $1,544.35 / $1,544.35	Facility		$1,544.35	$1,544.35	$1,544.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,190.89	Facility		$200.00	$617.00	$1,190.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.96 / $1,338.95 / $2,453.23	Professional		$1,029.96	$1,338.95	$2,453.23
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