Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.51 / $5,045.00 / $6,915.00	Facility		$1,081.51	$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 $1,862.73 / $2,043.72 / $3,138.57	Facility		$1,862.73	$2,043.72	$3,138.57
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 $975.78 / $1,268.51 / $2,246.71	Professional		$975.78	$1,268.51	$2,246.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.18 / $31.18 / $31.18	Professional	AS	$31.18	$31.18	$31.18
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