Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.93 / $6,915.00 / $10,897.00	Facility		$1,804.93	$6,915.00	$10,897.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,931.00 / $5,872.05 / $13,137.87	Facility		$1,931.00	$5,872.05	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $928.29 / $996.12 / $1,529.75	Facility		$928.29	$996.12	$1,529.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,861.99 / $12,861.99 / $12,861.99	Facility		$12,861.99	$12,861.99	$12,861.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.29 / $632.17 / $4,581.18	Professional		$486.29	$632.17	$4,581.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00