Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.71 / $5,063.00 / $7,628.00	Facility		$1,569.71	$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 $1,722.90 / $1,845.23 / $2,833.74	Facility		$1,722.90	$1,845.23	$2,833.74
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 $902.54 / $1,173.30 / $2,372.00	Professional		$902.54	$1,173.30	$2,372.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,357.00 / $11,889.00	Facility		$2,845.00	$7,357.00	$11,889.00