Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.62 / $5,063.00 / $7,391.00	Facility		$1,642.62	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $3,859.05 / $8,545.91	Facility		$1,380.70	$3,859.05	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,972.83 / $2,096.37 / $3,219.42	Facility		$1,972.83	$2,096.37	$3,219.42
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 $1,037.63 / $1,348.92 / $2,611.83	Professional		$1,037.63	$1,348.92	$2,611.83
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