Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.99 / $5,063.00 / $7,631.00	Facility		$1,338.99	$5,063.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.79 / $7,898.67 / $19,770.82	Facility		$2,023.79	$7,898.67	$19,770.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,939.76 / $3,183.23 / $4,888.52	Facility		$2,939.76	$3,183.23	$4,888.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $6,918.00 / $9,852.00	Facility		$550.00	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,539.97 / $2,001.96 / $4,192.62	Professional		$1,539.97	$2,001.96	$4,192.62
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $47.84 / $47.84 / $47.84	Professional	AS	$47.84	$47.84	$47.84
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $4,201.00 / $14,000.00	Facility		$607.00	$4,201.00	$14,000.00