Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $7,628.00	Facility		$1,202.00	$5,063.00	$7,628.00
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 $1,959.98 / $2,087.28 / $3,205.46	Facility		$1,959.98	$2,087.28	$3,205.46
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 $1,026.72 / $1,334.74 / $2,988.39	Professional		$1,026.72	$1,334.74	$2,988.39
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