Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.25 / $5,663.00 / $10,190.00	Facility		$1,765.25	$5,663.00	$10,190.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.18 / $4,429.60 / $8,545.91	Facility		$1,556.18	$4,429.60	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,384.12 / $2,533.40 / $3,890.58	Facility		$2,384.12	$2,533.40	$3,890.58
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 $1,251.75 / $1,627.28 / $3,319.90	Professional		$1,251.75	$1,627.28	$3,319.90
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