Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.65 / $4,353.00 / $6,915.00	Facility		$879.65	$4,353.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.33 / $6,936.00 / $35,850.44	Facility		$1,082.33	$6,936.00	$35,850.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,024.40 / $1,100.03 / $1,689.32	Facility		$1,024.40	$1,100.03	$1,689.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $7,258.00 / $10,047.00	Facility		$4,186.00	$7,258.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.62 / $723.73 / $906.89	Professional		$536.62	$723.73	$906.89
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $42.45 / $42.45 / $42.45	Professional	AS	$42.45	$42.45	$42.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,650.00 / $12,757.00 / $46,000.00	Facility		$2,650.00	$12,757.00	$46,000.00