Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $7,421.00	Facility		$1,202.00	$5,063.00	$7,421.00
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 $634.39 / $634.39 / $634.39	Facility		$634.39	$634.39	$634.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $703.00 / $4,472.60	Facility		$512.00	$703.00	$4,472.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.20 / $600.86 / $2,205.00	Professional		$462.20	$600.86	$2,205.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,298.46 / $1,298.46 / $1,657.45	Professional	22	$1,298.46	$1,298.46	$1,657.45
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