Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $4,733.00 / $6,915.00	Facility		$1,352.00	$4,733.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,640.00 / $8,545.91	Facility		$1,140.78	$3,640.00	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,358.40 / $1,358.40 / $1,358.40	Facility		$1,358.40	$1,358.40	$1,358.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $972.50 / $972.50 / $4,250.64	Facility		$972.50	$972.50	$4,250.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.25 / $1,388.23 / $2,455.04	Professional		$976.25	$1,388.23	$2,455.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00