Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.93 / $3,963.00 / $6,915.00	Facility		$911.93	$3,963.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.84 / $4,260.50 / $9,365.64	Facility		$1,034.84	$4,260.50	$9,365.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,336.56 / $1,453.83 / $2,232.67	Facility		$1,336.56	$1,453.83	$2,232.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.12 / $3,613.12 / $3,613.12	Facility		$3,613.12	$3,613.12	$3,613.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.15 / $910.20 / $1,183.25	Professional		$700.15	$910.20	$1,183.25
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.37 / $24.37 / $24.37	Professional	AS	$24.37	$24.37	$24.37
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