Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.79 / $4,592.00 / $6,915.00	Facility		$1,533.79	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,243.41 / $2,243.41 / $2,243.41	Facility		$2,243.41	$2,243.41	$2,243.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,683.98 / $2,500.00	Facility		$500.00	$1,683.98	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,713.29 / $2,079.39 / $4,308.53	Professional		$1,713.29	$2,079.39	$4,308.53
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00