Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.78 / $5,045.00 / $6,915.00	Facility		$1,052.78	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,205.07 / $1,459.04 / $74,999.25	Facility		$1,205.07	$1,459.04	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,119.77 / $1,410.08	Facility		$630.00	$1,119.77	$1,410.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.92 / $1,141.00 / $5,595.27	Professional		$761.92	$1,141.00	$5,595.27
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