Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.62 / $5,045.00 / $6,915.00	Facility		$1,845.62	$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 $2,697.78 / $2,697.78 / $2,697.78	Facility		$2,697.78	$2,697.78	$2,697.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,060.39 / $57,200.00	Facility		$500.00	$2,060.39	$57,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,090.94 / $2,909.14 / $5,258.17	Professional		$2,090.94	$2,909.14	$5,258.17
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