Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.06 / $5,063.00 / $7,631.00	Facility		$1,676.06	$5,063.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $4,075.69 / $8,545.91	Facility		$1,195.63	$4,075.69	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,206.32 / $1,467.51 / $74,999.25	Facility		$1,206.32	$1,467.51	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $4,642.38 / $5,845.95	Facility		$778.00	$4,642.38	$5,845.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.35 / $1,114.69 / $7,682.94	Professional		$766.35	$1,114.69	$7,682.94
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $49.12 / $49.12 / $49.12	Professional	80	$49.12	$49.12	$49.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00