Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,592.00 / $6,915.00	Facility		$1,202.00	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,516.40 / $12,227.65	Facility		$996.37	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.72 / $1,252.72 / $1,252.72	Facility		$1,252.72	$1,252.72	$1,252.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,043.05 / $2,225.00	Facility		$500.00	$1,043.05	$2,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.98 / $1,393.00 / $2,670.61	Professional		$1,061.98	$1,393.00	$2,670.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00