Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,063.00 / $7,421.00	Facility		$1,352.00	$5,063.00	$7,421.00
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 $7,673.69 / $7,673.69 / $7,673.69	Facility		$7,673.69	$7,673.69	$7,673.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $735.65 / $4,786.18	Facility		$512.00	$735.65	$4,786.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.78 / $3,863.70 / $9,448.00	Professional		$479.78	$3,863.70	$9,448.00
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