Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.67 / $6,915.00 / $13,428.00	Facility		$2,090.67	$6,915.00	$13,428.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,071.55 / $7,297.76 / $94,415.43	Facility		$2,071.55	$7,297.76	$94,415.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,263.73 / $2,442.26 / $3,750.62	Facility		$2,263.73	$2,442.26	$3,750.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $7,258.00 / $10,047.00	Facility		$4,186.00	$7,258.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.84 / $1,541.61 / $3,594.34	Professional		$1,185.84	$1,541.61	$3,594.34
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,096.29 / $3,096.29 / $3,096.29	Professional	22	$3,096.29	$3,096.29	$3,096.29
United Facility/Professional Facility Modifier Low / Median / High Price $6,750.00 / $16,430.00 / $89,000.00	Facility		$6,750.00	$16,430.00	$89,000.00