Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,647.00	Facility		$1,791.00	$5,063.00	$7,647.00
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 $2,145.56 / $2,303.37 / $3,537.32	Facility		$2,145.56	$2,303.37	$3,537.32
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 $1,123.93 / $1,461.11 / $3,563.57	Professional		$1,123.93	$1,461.11	$3,563.57
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