Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $6,915.00	Facility		$1,791.00	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $4,075.69 / $8,545.91	Facility		$1,195.63	$4,075.69	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,800.77 / $2,189.88 / $74,999.25	Facility		$1,800.77	$2,189.88	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $3,616.74 / $4,554.41	Facility		$778.00	$3,616.74	$4,554.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.57 / $1,663.38 / $8,407.11	Professional		$1,143.57	$1,663.38	$8,407.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00