Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,541.19 / $4,829.00 / $6,915.00	Facility		$1,541.19	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,821.11 / $2,216.87 / $74,999.25	Facility		$1,821.11	$2,216.87	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,325.29 / $1,668.88	Facility		$778.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,157.66 / $1,683.87 / $8,515.12	Professional		$1,157.66	$1,683.87	$8,515.12
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $74.20 / $74.20 / $74.20	Professional	80	$74.20	$74.20	$74.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00