Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,045.00 / $6,915.00	Facility		$933.25	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.48 / $4,260.50 / $9,365.64	Facility		$1,400.48	$4,260.50	$9,365.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,679.67 / $1,831.41 / $2,812.53	Facility		$1,679.67	$1,831.41	$2,812.53
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 $879.89 / $1,143.85 / $1,645.68	Professional		$879.89	$1,143.85	$1,645.68
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.63 / $30.63 / $30.63	Professional	AS	$30.63	$30.63	$30.63
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