Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,815.76 / $5,045.00 / $6,915.00	Facility		$1,815.76	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,595.87 / $8,313.99	Facility		$659.95	$3,595.87	$8,313.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,700.14 / $2,700.14 / $2,700.14	Facility		$2,700.14	$2,700.14	$2,700.14
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 $1,773.42 / $2,305.44 / $4,151.79	Professional		$1,773.42	$2,305.44	$4,151.79
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,982.14 / $4,982.14 / $6,359.56	Professional	22	$4,982.14	$4,982.14	$6,359.56
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