Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.41 / $4,817.00 / $6,915.00	Facility		$1,269.41	$4,817.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.17 / $2,753.31 / $5,240.56	Facility		$1,078.17	$2,753.31	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,504.46 / $1,605.47 / $2,465.55	Facility		$1,504.46	$1,605.47	$2,465.55
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 $788.10 / $1,024.53 / $2,798.15	Professional		$788.10	$1,024.53	$2,798.15
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