Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.25 / $5,045.00 / $6,915.00	Facility		$1,305.25	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,429.60 / $9,836.54	Facility		$1,298.47	$4,429.60	$9,836.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,479.67 / $2,693.16 / $4,135.93	Facility		$2,479.67	$2,693.16	$4,135.93
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 $1,298.96 / $1,818.54 / $3,111.70	Professional		$1,298.96	$1,818.54	$3,111.70
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $120.21 / $120.21 / $120.21	Professional	80	$120.21	$120.21	$120.21
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $60.10 / $60.10 / $60.10	Professional	AS	$60.10	$60.10	$60.10
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