Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.37 / $5,045.00 / $6,915.00	Facility		$1,337.37	$5,045.00	$6,915.00
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 $2,448.27 / $2,683.37 / $4,120.88	Facility		$2,448.27	$2,683.37	$4,120.88
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 $1,282.51 / $1,667.26 / $4,075.72	Professional		$1,282.51	$1,667.26	$4,075.72
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,157.91 / $3,157.91 / $3,157.91	Professional	22	$3,157.91	$3,157.91	$3,157.91
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $84.21 / $84.21 / $84.21	Professional	80	$84.21	$84.21	$84.21
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