Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.01 / $5,045.00 / $6,915.00	Facility		$874.01	$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 $1,506.54 / $1,650.33 / $2,534.42	Facility		$1,506.54	$1,650.33	$2,534.42
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 $789.20 / $1,025.96 / $2,354.26	Professional		$789.20	$1,025.96	$2,354.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.21 / $25.21 / $25.21	Professional	AS	$25.21	$25.21	$25.21
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