Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.71 / $5,063.00 / $7,631.00	Facility		$1,219.71	$5,063.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,763.84 / $1,763.84 / $1,763.84	Facility		$1,763.84	$1,763.84	$1,763.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,218.16 / $1,583.61 / $2,843.62	Professional		$1,218.16	$1,583.61	$2,843.62
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $91.26 / $91.26 / $116.49	Professional	80	$91.26	$91.26	$116.49
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00