Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.56 / $4,590.00 / $6,915.00	Facility		$1,613.56	$4,590.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $3,142.00 / $8,028.57	Facility		$722.00	$3,142.00	$8,028.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $444.30 / $600.50 / $711.22	Facility		$444.30	$600.50	$711.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $4,490.58	Facility		$512.00	$703.00	$4,490.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.30 / $577.59 / $2,108.00	Professional		$444.30	$577.59	$2,108.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,248.17 / $1,248.17 / $1,593.26	Professional	22	$1,248.17	$1,248.17	$1,593.26
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00