Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.66 / $5,045.00 / $6,915.00	Facility		$2,465.66	$5,045.00	$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 $3,366.85 / $3,366.85 / $3,366.85	Facility		$3,366.85	$3,366.85	$3,366.85
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 $2,444.78 / $3,178.21 / $5,585.14	Professional		$2,444.78	$3,178.21	$5,585.14
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $183.15 / $183.15 / $233.79	Professional	80	$183.15	$183.15	$233.79
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