Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.73 / $4,353.00 / $6,915.00	Facility		$1,287.73	$4,353.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,292.94 / $5,084.83	Facility		$746.52	$2,292.94	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.38 / $1,828.14 / $74,999.25	Facility		$1,507.38	$1,828.14	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,227.11 / $5,008.00 / $9,852.00	Facility		$1,227.11	$5,008.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.68 / $1,388.62 / $7,033.20	Professional		$954.68	$1,388.62	$7,033.20
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $61.19 / $61.19 / $61.19	Professional	80	$61.19	$61.19	$61.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.60 / $30.60 / $30.60	Professional	AS	$30.60	$30.60	$30.60
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00