Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.00 / $4,592.00 / $6,915.00	Facility		$726.00	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.27 / $6,959.71 / $17,687.80	Facility		$1,732.27	$6,959.71	$17,687.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.49 / $1,369.26 / $2,102.79	Facility		$1,252.49	$1,369.26	$2,102.79
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 $656.12 / $852.96 / $1,945.80	Professional		$656.12	$852.96	$1,945.80
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $20.96 / $20.96 / $20.96	Professional	AS	$20.96	$20.96	$20.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00