Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.77 / $5,045.00 / $6,915.00	Facility		$1,190.77	$5,045.00	$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 $2,045.78 / $2,248.64 / $3,453.27	Facility		$2,045.78	$2,248.64	$3,453.27
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 $1,071.66 / $1,393.16 / $2,111.23	Professional		$1,071.66	$1,393.16	$2,111.23
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.24 / $34.24 / $34.24	Professional	AS	$34.24	$34.24	$34.24
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