Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.67 / $5,063.00 / $9,488.00	Facility		$1,742.67	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,050.46 / $2,239.67 / $3,439.50	Facility		$2,050.46	$2,239.67	$3,439.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,074.13 / $1,396.37 / $2,024.49	Professional		$1,074.13	$1,396.37	$2,024.49
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $74.79 / $74.79 / $74.79	Professional	80	$74.79	$74.79	$74.79
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $37.39 / $37.39 / $37.39	Professional	AS	$37.39	$37.39	$37.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00