Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,482.33 / $8,245.00 / $12,464.00	Facility		$2,482.33	$8,245.00	$12,464.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.72 / $5,023.33 / $9,365.64	Facility		$1,839.72	$5,023.33	$9,365.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,571.50 / $2,821.47 / $4,332.97	Facility		$2,571.50	$2,821.47	$4,332.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,008.00 / $7,258.00 / $10,047.00	Facility		$5,008.00	$7,258.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,347.06 / $1,751.18 / $5,358.56	Professional		$1,347.06	$1,751.18	$5,358.56
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,316.88 / $3,316.88 / $3,316.88	Professional	22	$3,316.88	$3,316.88	$3,316.88
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $88.45 / $88.45 / $88.45	Professional	80	$88.45	$88.45	$88.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00