Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,046.55 / $5,917.00 / $11,445.00	Facility		$2,046.55	$5,917.00	$11,445.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $4,795.72 / $13,137.87	Facility		$1,088.00	$4,795.72	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,827.19 / $1,827.19 / $1,827.19	Facility		$1,827.19	$1,827.19	$1,827.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,852.00	Facility		$400.00	$703.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,246.22 / $1,620.09 / $2,917.55	Professional		$1,246.22	$1,620.09	$2,917.55
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $93.36 / $93.36 / $119.17	Professional	80	$93.36	$93.36	$119.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,049.00 / $8,566.00 / $18,000.00	Facility		$1,049.00	$8,566.00	$18,000.00