Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,818.29 / $4,829.00 / $6,915.00	Facility		$1,818.29	$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 $1,985.94 / $2,420.90 / $74,999.25	Facility		$1,985.94	$2,420.90	$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 $1,264.21 / $1,988.00 / $9,297.57	Professional		$1,264.21	$1,988.00	$9,297.57
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $81.03 / $81.03 / $81.03	Professional	80	$81.03	$81.03	$81.03
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