Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,529.90 / $5,175.00 / $10,897.00	Facility		$1,529.90	$5,175.00	$10,897.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $4,139.00 / $8,094.63	Facility		$1,380.70	$4,139.00	$8,094.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,601.49 / $1,940.48 / $74,999.25	Facility		$1,601.49	$1,940.48	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,116.42 / $5,008.00 / $9,852.00	Facility		$2,116.42	$5,008.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.33 / $1,769.00 / $7,464.58	Professional		$1,013.33	$1,769.00	$7,464.58
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $64.95 / $64.95 / $64.95	Professional	80	$64.95	$64.95	$64.95
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