Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.63 / $5,079.00 / $9,512.00	Facility		$1,151.63	$5,079.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.00 / $3,177.89 / $5,292.58	Facility		$1,299.00	$3,177.89	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,495.73 / $1,595.90 / $2,450.84	Facility		$1,495.73	$1,595.90	$2,450.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.54 / $1,018.60 / $1,875.68	Professional		$783.54	$1,018.60	$1,875.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00