Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,740.80 / $8,245.00 / $13,676.00	Facility		$1,740.80	$8,245.00	$13,676.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.72 / $5,141.76 / $13,343.88	Facility		$1,839.72	$5,141.76	$13,343.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $611.78 / $684.49 / $815.71	Facility		$611.78	$684.49	$815.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $7,258.00 / $10,047.00	Facility		$4,186.00	$7,258.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.82 / $662.77 / $2,062.80	Professional		$509.82	$662.77	$2,062.80
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $35.50 / $35.50 / $35.50	Professional	80	$35.50	$35.50	$35.50
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.75 / $17.75 / $17.75	Professional	AS	$17.75	$17.75	$17.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00