Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.55 / $5,063.00 / $7,631.00	Facility		$1,387.55	$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 $2,067.96 / $2,067.96 / $2,067.96	Facility		$2,067.96	$2,067.96	$2,067.96
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 $1,374.06 / $1,786.28 / $3,216.81	Professional		$1,374.06	$1,786.28	$3,216.81
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,860.17 / $3,860.17 / $4,927.42	Professional	22	$3,860.17	$3,860.17	$4,927.42
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $102.94 / $102.94 / $131.40	Professional	80	$102.94	$102.94	$131.40
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