Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.25 / $4,577.00 / $7,767.00	Facility		$1,275.25	$4,577.00	$7,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $3,859.05 / $9,182.00	Facility		$1,380.70	$3,859.05	$9,182.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $732.78 / $982.06 / $1,087.28	Facility		$732.78	$982.06	$1,087.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,646.46 / $6,918.00 / $9,852.00	Facility		$3,646.46	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.78 / $952.61 / $2,211.11	Professional		$732.78	$952.61	$2,211.11
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $59.09 / $59.09 / $59.09	Professional	80	$59.09	$59.09	$59.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.55 / $29.55 / $29.55	Professional	AS	$29.55	$29.55	$29.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $8,206.00 / $17,255.00	Facility		$1,738.00	$8,206.00	$17,255.00