Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,913.92 / $5,063.00 / $7,421.00	Facility		$1,913.92	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,516.40 / $12,227.65	Facility		$1,603.22	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,141.02 / $2,141.02 / $2,141.02	Facility		$2,141.02	$2,141.02	$2,141.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,543.14 / $4,635.00	Facility		$500.00	$1,543.14	$4,635.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,565.63 / $2,300.80 / $5,683.80	Professional		$1,565.63	$2,300.80	$5,683.80
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