Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,223.62 / $5,063.00 / $6,915.00	Facility		$3,223.62	$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 $4,344.55 / $4,344.55 / $4,344.55	Facility		$4,344.55	$4,344.55	$4,344.55
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 $3,186.28 / $3,823.54 / $7,271.60	Professional		$3,186.28	$3,823.54	$7,271.60
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $238.70 / $238.70 / $304.70	Professional	80	$238.70	$238.70	$304.70
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