Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.21 / $4,829.00 / $7,337.84	Facility		$1,325.21	$4,829.00	$7,337.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,463.78 / $1,773.57 / $2,412.59	Facility		$1,463.78	$1,773.57	$2,412.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $960.09 / $960.09 / $2,172.58	Facility		$960.09	$960.09	$2,172.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.17 / $1,413.57 / $2,208.57	Professional		$926.17	$1,413.57	$2,208.57
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,504.53 / $2,504.53 / $2,504.53	Professional	22	$2,504.53	$2,504.53	$2,504.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00