Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,967.22 / $5,045.00 / $6,915.00	Facility		$1,967.22	$5,045.00	$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 $2,907.19 / $2,907.19 / $2,907.19	Facility		$2,907.19	$2,907.19	$2,907.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,218.90 / $2,500.00	Facility		$500.00	$2,218.90	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,222.86 / $3,092.67 / $5,589.92	Professional		$2,222.86	$3,092.67	$5,589.92
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