Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.67 / $4,613.00 / $6,915.00	Facility		$1,136.67	$4,613.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,625.09 / $13,137.87	Facility		$1,206.01	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,242.55 / $1,242.55 / $1,242.55	Facility		$1,242.55	$1,242.55	$1,242.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.68 / $6,918.00 / $9,852.00	Facility		$749.68	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.90 / $1,048.00 / $1,863.18	Professional		$740.90	$1,048.00	$1,863.18
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