Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,220.93 / $2,650.00	Facility		$760.00	$1,220.93	$2,650.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.33 / $3,850.98 / $9,639.23	Facility		$1,082.33	$3,850.98	$9,639.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $899.20 / $1,225.56 / $1,356.87	Facility		$899.20	$1,225.56	$1,356.87
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 $1,050.00 / $1,155.00 / $2,465.06	Professional		$1,050.00	$1,155.00	$2,465.06
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $74.89 / $74.89 / $74.89	Professional	80	$74.89	$74.89	$74.89
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