Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $4,829.00 / $6,915.00	Facility		$1,458.00	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,833.42 / $2,228.87 / $74,999.25	Facility		$1,833.42	$2,228.87	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,325.29 / $1,668.88	Facility		$778.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.92 / $1,692.98 / $8,595.44	Professional		$1,163.92	$1,692.98	$8,595.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,214.00 / $4,500.00 / $6,995.00	Facility		$1,214.00	$4,500.00	$6,995.00