Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,063.00 / $7,421.00	Facility		$1,352.00	$5,063.00	$7,421.00
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 $1,712.57 / $2,083.80 / $74,999.25	Facility		$1,712.57	$2,083.80	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $3,264.91 / $4,111.35	Facility		$778.00	$3,264.91	$4,111.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.18 / $1,582.80 / $8,024.00	Professional		$1,088.18	$1,582.80	$8,024.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $69.75 / $69.75 / $69.75	Professional	80	$69.75	$69.75	$69.75
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