Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.12 / $5,063.00 / $9,488.00	Facility		$993.12	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $2,713.27 / $6,065.87	Facility		$717.00	$2,713.27	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $939.88 / $939.88 / $939.88	Facility		$939.88	$939.88	$939.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $835.00	Facility		$200.00	$617.00	$835.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.20 / $829.66 / $1,494.11	Professional		$638.20	$829.66	$1,494.11
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,792.93 / $1,792.93 / $2,288.62	Professional	22	$1,792.93	$1,792.93	$2,288.62
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00