Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.11 / $5,063.00 / $7,631.00	Facility		$1,672.11	$5,063.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,640.00 / $8,094.63	Facility		$1,185.65	$3,640.00	$8,094.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,898.09 / $2,306.12 / $74,999.25	Facility		$1,898.09	$2,306.12	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $3,736.78 / $4,705.58	Facility		$886.00	$3,736.78	$4,705.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,204.27 / $1,751.66 / $8,867.20	Professional		$1,204.27	$1,751.66	$8,867.20
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $124.47 / $124.47 / $124.47	Professional	80	$124.47	$124.47	$124.47
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