Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.45 / $5,045.00 / $6,915.00	Facility		$1,825.45	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,739.98 / $2,739.98 / $2,739.98	Facility		$2,739.98	$2,739.98	$2,739.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,030.88 / $2,225.00	Facility		$500.00	$2,030.88	$2,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,039.15 / $2,837.07 / $5,127.95	Professional		$2,039.15	$2,837.07	$5,127.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00