Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.24 / $5,045.00 / $6,915.00	Facility		$1,453.24	$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 $2,131.08 / $2,131.08 / $2,131.08	Facility		$2,131.08	$2,131.08	$2,131.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,425.26 / $1,852.84 / $3,336.70	Professional		$1,425.26	$1,852.84	$3,336.70
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