Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.71 / $4,733.00 / $6,915.00	Facility		$1,228.71	$4,733.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.88 / $4,390.45 / $10,456.09	Facility		$1,341.88	$4,390.45	$10,456.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,273.91 / $2,486.34 / $3,818.31	Facility		$2,273.91	$2,486.34	$3,818.31
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 $1,191.17 / $1,548.52 / $3,229.82	Professional		$1,191.17	$1,548.52	$3,229.82
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $78.20 / $78.20 / $78.20	Professional	80	$78.20	$78.20	$78.20
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.11 / $39.11 / $39.11	Professional	AS	$39.11	$39.11	$39.11
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