Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.07 / $5,045.00 / $6,915.00	Facility		$1,072.07	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $15,411.81	Facility		$1,538.99	$5,842.74	$15,411.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,982.12 / $2,170.10 / $3,332.66	Facility		$1,982.12	$2,170.10	$3,332.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.32 / $1,349.82 / $2,828.39	Professional		$1,038.32	$1,349.82	$2,828.39
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,556.66 / $2,556.66 / $2,556.66	Professional	22	$2,556.66	$2,556.66	$2,556.66
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $68.18 / $68.18 / $68.18	Professional	80	$68.18	$68.18	$68.18
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00