Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,290.23 / $5,063.00 / $6,915.00	Facility		$3,290.23	$5,063.00	$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 $4,929.31 / $4,929.31 / $4,929.31	Facility		$4,929.31	$4,929.31	$4,929.31
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 $3,259.32 / $4,237.12 / $7,808.16	Professional		$3,259.32	$4,237.12	$7,808.16
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $311.68 / $336.10 / $336.10	Professional	80	$311.68	$336.10	$336.10
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