Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $6,014.00 / $12,464.00	Facility		$1,791.00	$6,014.00	$12,464.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,600.77 / $1,768.19 / $2,715.42	Facility		$1,600.77	$1,768.19	$2,715.42
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 $838.56 / $1,173.98 / $4,343.00	Professional		$838.56	$1,173.98	$4,343.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,910.11 / $2,910.11 / $2,910.11	Professional	22	$2,910.11	$2,910.11	$2,910.11
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