Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.74 / $4,613.00 / $6,915.00	Facility		$1,464.74	$4,613.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $3,839.45 / $8,545.91	Facility		$1,195.63	$3,839.45	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,065.34 / $2,194.67 / $3,370.38	Facility		$2,065.34	$2,194.67	$3,370.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.38 / $1,416.19 / $2,439.26	Professional		$1,089.38	$1,416.19	$2,439.26
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