Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,391.00 / $6,915.00	Facility		$1,202.00	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $791.42 / $1,077.72 / $1,193.19	Facility		$791.42	$1,077.72	$1,193.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.74 / $1,155.00 / $2,114.39	Professional		$1,000.74	$1,155.00	$2,114.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,594.00 / $7,647.00	Facility		$1,369.00	$4,594.00	$7,647.00