Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.45 / $6,726.00 / $14,497.00	Facility		$1,618.45	$6,726.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.82 / $4,810.13 / $9,365.64	Facility		$1,651.82	$4,810.13	$9,365.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,711.25 / $1,875.32 / $2,879.96	Facility		$1,711.25	$1,875.32	$2,879.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $7,258.00 / $10,047.00	Facility		$4,186.00	$7,258.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.43 / $1,165.35 / $2,091.21	Professional		$896.43	$1,165.35	$2,091.21
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $58.86 / $58.86 / $58.86	Professional	80	$58.86	$58.86	$58.86
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.43 / $29.43 / $29.43	Professional	AS	$29.43	$29.43	$29.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00