Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,131.76 / $5,730.00 / $9,025.50	Facility		$2,131.76	$5,730.00	$9,025.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,825.20 / $7,838.81 / $10,140.00	Facility	50	$3,825.20	$7,838.81	$10,140.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $879.03 / $963.29 / $1,479.35	Facility		$879.03	$963.29	$1,479.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.29 / $6,918.00 / $9,852.00	Facility		$3,064.29	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.47 / $598.61 / $4,608.00	Professional		$460.47	$598.61	$4,608.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,103.39 / $1,103.39 / $1,103.39	Professional	22	$1,103.39	$1,103.39	$1,103.39
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