Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.35 / $5,045.00 / $6,915.00	Facility		$1,172.35	$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 $1,720.07 / $1,720.07 / $1,720.07	Facility		$1,720.07	$1,720.07	$1,720.07
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 $1,162.81 / $1,511.65 / $2,722.28	Professional		$1,162.81	$1,511.65	$2,722.28
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,266.74 / $3,266.74 / $4,169.89	Professional	22	$3,266.74	$3,266.74	$4,169.89
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