Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.66 / $4,733.00 / $6,915.00	Facility		$1,311.66	$4,733.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,716.99 / $1,861.71 / $2,859.06	Facility		$1,716.99	$1,861.71	$2,859.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.35 / $1,168.35 / $1,168.35	Facility		$1,168.35	$1,168.35	$1,168.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.43 / $1,259.20 / $2,605.07	Professional		$899.43	$1,259.20	$2,605.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,581.00 / $7,647.00	Facility		$1,369.00	$4,581.00	$7,647.00