Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,867.57 / $5,045.00 / $6,915.00	Facility		$1,867.57	$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 $2,788.63 / $2,788.63 / $2,788.63	Facility		$2,788.63	$2,788.63	$2,788.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,069.80 / $2,500.00	Facility		$500.00	$2,069.80	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,106.94 / $2,931.41 / $5,298.48	Professional		$2,106.94	$2,931.41	$5,298.48
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