Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.85 / $5,045.00 / $7,068.00	Facility		$540.85	$5,045.00	$7,068.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.71 / $355.71 / $355.71	Facility		$355.71	$355.71	$355.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $700.00 / $1,233.00	Facility		$506.00	$700.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $338.36 / $846.00	Professional		$260.27	$338.36	$846.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $731.20 / $731.20 / $933.36	Professional	22	$731.20	$731.20	$933.36
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00