Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.27 / $4,733.00 / $6,915.00	Facility		$1,416.27	$4,733.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,174.58 / $4,819.75	Facility		$578.00	$2,174.58	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,326.24 / $1,326.24 / $1,326.24	Facility		$1,326.24	$1,326.24	$1,326.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $715.00 / $1,765.90	Facility		$512.00	$715.00	$1,765.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.21 / $1,166.36 / $2,206.69	Professional		$897.21	$1,166.36	$2,206.69
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00