Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.88 / $5,063.00 / $7,421.00	Facility		$1,448.88	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,431.64 / $10,456.09	Facility		$1,298.47	$4,431.64	$10,456.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,900.89 / $2,080.38 / $3,194.88	Facility		$1,900.89	$2,080.38	$3,194.88
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 $995.77 / $1,294.50 / $2,043.56	Professional		$995.77	$1,294.50	$2,043.56
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $65.38 / $65.38 / $65.38	Professional	80	$65.38	$65.38	$65.38
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.69 / $32.69 / $32.69	Professional	AS	$32.69	$32.69	$32.69
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