Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.70 / $5,045.00 / $6,915.00	Facility		$1,002.70	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,434.27 / $1,434.27 / $1,434.27	Facility		$1,434.27	$1,434.27	$1,434.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,141.67	Facility		$200.00	$617.00	$1,141.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.59 / $1,296.86 / $2,322.06	Professional		$997.59	$1,296.86	$2,322.06
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