Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.08 / $5,045.00 / $6,915.00	Facility		$1,446.08	$5,045.00	$6,915.00
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 $2,128.50 / $2,128.50 / $2,128.50	Facility		$2,128.50	$2,128.50	$2,128.50
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 $1,439.53 / $1,871.39 / $3,370.10	Professional		$1,439.53	$1,871.39	$3,370.10
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $107.84 / $107.84 / $137.66	Professional	80	$107.84	$107.84	$137.66
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