Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,910.90 / $5,045.00 / $6,915.00	Facility		$1,910.90	$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 $2,872.03 / $2,872.03 / $2,872.03	Facility		$2,872.03	$2,872.03	$2,872.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,143.75 / $57,200.00	Facility		$500.00	$2,143.75	$57,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,189.27 / $3,045.94 / $5,505.45	Professional		$2,189.27	$3,045.94	$5,505.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00