Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.97 / $4,817.00 / $6,915.00	Facility		$1,271.97	$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 $1,505.07 / $1,606.17 / $2,466.62	Facility		$1,505.07	$1,606.17	$2,466.62
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 $788.42 / $1,024.95 / $2,782.73	Professional		$788.42	$1,024.95	$2,782.73
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