Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,462.60 / $4,708.00 / $6,915.00	Facility		$2,462.60	$4,708.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.76 / $8,967.21 / $21,657.35	Facility		$2,325.76	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,514.63 / $4,889.18 / $7,508.39	Facility		$4,514.63	$4,889.18	$7,508.39
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 $2,364.96 / $3,310.94 / $4,591.83	Professional		$2,364.96	$3,310.94	$4,591.83
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00