Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.58 / $5,045.00 / $6,915.00	Facility		$1,732.58	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.82 / $4,800.00 / $9,365.64	Facility		$1,651.82	$4,800.00	$9,365.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,989.73 / $3,278.19 / $5,034.35	Facility		$2,989.73	$3,278.19	$5,034.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,566.15 / $2,036.00 / $3,265.89	Professional		$1,566.15	$2,036.00	$3,265.89
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $50.04 / $50.04 / $50.04	Professional	AS	$50.04	$50.04	$50.04
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00