Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.81 / $5,063.00 / $7,631.00	Facility		$1,136.81	$5,063.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $714.77 / $714.77 / $714.77	Facility		$714.77	$714.77	$714.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $822.70 / $2,500.00	Facility		$500.00	$822.70	$2,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.43 / $794.67 / $3,441.47	Professional		$722.43	$794.67	$3,441.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00