Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.44 / $5,045.00 / $6,915.00	Facility		$1,212.44	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.00 / $2,580.19 / $6,160.12	Facility		$635.00	$2,580.19	$6,160.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,716.28 / $1,716.28 / $1,716.28	Facility		$1,716.28	$1,716.28	$1,716.28
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 $1,203.93 / $1,565.11 / $2,777.19	Professional		$1,203.93	$1,565.11	$2,777.19
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