Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.75 / $4,817.00 / $6,915.00	Facility		$1,382.75	$4,817.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $1,282.00 / $1,282.00	Facility		$1,282.00	$1,282.00	$1,282.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $3,613.12	Facility		$512.00	$703.00	$3,613.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.22 / $1,659.58 / $5,051.78	Professional		$815.22	$1,659.58	$5,051.78
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $16,000.00	Facility		$851.00	$6,868.00	$16,000.00