Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.15 / $5,045.00 / $6,915.00	Facility		$1,349.15	$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 $2,476.91 / $2,712.93 / $4,166.28	Facility		$2,476.91	$2,712.93	$4,166.28
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 $1,297.51 / $1,686.76 / $4,383.34	Professional		$1,297.51	$1,686.76	$4,383.34
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,194.87 / $3,194.87 / $3,194.87	Professional	22	$3,194.87	$3,194.87	$3,194.87
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $85.20 / $85.20 / $85.20	Professional	80	$85.20	$85.20	$85.20
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